摘要
目的 研究快速康复护理在腹腔镜胃肠外科手术上的临床效果。方法 选取2015年12月至2016年8月,44例腹腔镜胃 肠外科手术患者为研究对象,分为普通组和循证组,普通组予以常规的护理方法,循证组在普通组的护理基础上 实施循证护理,观察及比较两组患者护理效果。结果 循证组患者在排便时间、下床活动时间以及排气时间均短 于对照组;同时循证组患者不良反应发生率低于普通组(0.9% vs 27.2%),患者满意度高于普通组(90.91% vs 72.73%),差异具有统计学意义(P<0.05)。结论 快速康复护理在腹腔镜胃肠外科手术上不仅降低了不良反应的 发生率,同时还使手术后的患者健康快速的恢复,是一种非常有效的干预手段,临床中广泛应用。
Objective To investigate the clinic effect of rapid rehabilitation nursing in patients with laparoscopic gastrointestinal surgery. Methods 44 cases with laparoscopic gastrointestinal surgery in our hospital from December 2015 to August 2016 were selected and divided into common group and evidence-based group. Common group was given regular nursing and evidence-based group was given evidence-based nursing based on common group, and the clinical effect were observed and compared. Results The defecation time, off-bed activity time, evacuation time of evidencebased group were shorter than common group, adverse reaction rate of evidence-based group was lower than that of common group (0.9% vs 27.2%), patients’ satisfaction degree was higher than that of common group (90.91% vs 72.73%), the differences were statistical significance (P<0.05).Conclusion Rapid rehabilitation nursing on laparoscopic gastrointestinal surgery can lower adverse reaction rate and help patients with quick recovery. It is an effective intervention method and is worthy of clinic application.
【关键词】腹腔镜胃肠外科手术;快速康复护理;临床效果
【中图分类号】R472.9+1
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.03.021
前言
据不完全统计,在我国胃肠疾病发病率约占人口 数的20%[1],50岁以上的中老年为主要发病人群,随 着年龄的不断增大,发病率也越来越高,男女比例上 男性多于女性。胃肠疾病发病初期症状不明显,上腹 疼痛伴有恶心、呕吐、发热等现象,严重时形成胃溃 疡、萎缩性胃炎、胃肠息肉等问题。出现这种情况, 临床上多数选择腹腔镜外科手术[2]作为治疗方式,这 种微创方式不但手术过后伤口非常小,而且手术中不 会对周围组织造成损伤,如果再配合一种合理的干预 护理方式,不但能加快患者的恢复速度,还能降低并 发症的产生。快速康复的干预护理在腹腔镜胃肠外科 手术上的临床效果值得分析探讨,特选取2014年12月 至2015年8月,44例腹腔镜胃肠外科手术进行研究, 现报道如下。
罕少疾病杂志
第24卷, 第 3 期
2019年11月
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