加速康復外科理念在胃腸外科護理管理中的應用價值研究

孫明旭 叢志平 王海燕

[摘要] 目的 探討加速康復外科理念對胃腸外科護理管理效果的影響。方法 選取2016年1月—2018年12月期間該院收治的96例行胃腸手術的患者為研究對象，依據入院先后順序將患者分為研究組和對照組，先入院的48例患者納入對照組，實施常規管理，后入院的48例患者納入研究組，實施加速康復外科護理管理，比較兩組管理效果。結果 研究組肛門首次排氣、腸鳴音恢復、首次進食時間均較對照組顯著縮短（P<0.05）。研究組疼痛持續時間為（4.2±1.1）d，術后VAS疼痛評分為（1.9±0.7）分，均顯著低于對照組（P<0.05）;研究組患者護理總滿意率為93.75%，較對照組75.00%的護理滿意率顯著提高（P<0.05）。結論 加速康復外科理念在胃腸外科護理管理中的應用，有助于改善患者術后胃腸功能，提高護理滿意，對于提升該院整體護理質量具有重要作用。

[關鍵詞] 加速康復外科;護理管理;胃腸外科;術后康復

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1672-5654（2020）01（a）-0103-03

[Abstract] Objective To explore the influence of the concept of accelerated rehabilitation surgery on the nursing management effect of gastrointestinal surgery. Methods Ninety-six patients undergoing gastrointestinal surgery admitted in the hospital from January 2016 to December 2018 were selected as the research subjects. The patients were divided into a study group and a control group according to the order of admission. The control group was subjected to routine management. The 48 patients who were admitted to the hospital were included in the study group. The nursing management of accelerated rehabilitation surgery was implemented， and the management effects of the two groups were compared. Results The time of the first anal exhaust， recovery of bowel sounds， and the first meal in the study group were significantly shorter than those in the control group（P<0.05）. The duration of pain in the study group was （4.2±1.1）d， and the postoperative VAS pain score was （1.9±0.7）points， which were significantly lower than those in the control group（P<0.05）. The total satisfaction rate of patients in the study group was 93.75%， The control satisfaction rate of 75.00% in the control group was significantly increased（P<0.05）. Conclusion The application of the concept of accelerated rehabilitation surgery in nursing management of gastrointestinal surgery can help improve the gastrointestinal function of patients after surgery， improve nursing satisfaction， and play an important role in improving the overall nursing quality of the hospital.

[Key words] Accelerated rehabilitation surgery; Nursing management; Gastrointestinal surgery; Postoperative rehabilitation

加速康復外科理念屬于新型外科管理路徑，通過優化圍手術期的多種護理措施，包括健康教育、術前準備、術后活動等，最大限度減少手術應激反應，從而縮短患者住院時間，減少并發癥，提高患者生存質量，促進患者康復[1]。隨著加速康復外科理念在我國應用的日益成熟，其優勢得到了普遍認可。該次研究選取2016年1月—2018年12月期間該院收治的96例行胃腸手術的患者為研究對象，進一步從管理角度闡述了加速康復外科理念在胃腸手術患者中的應用價值，現報道如下。

1? 資料與方法

1.1? 一般資料

選取該院收治的96例行胃腸手術的患者為研究對象，依據入院先后順序將患者分為研究組和對照組，先入院的48例患者納入對照組，男25例、女23例，年齡26～69歲，平均（56.81±3.21）歲;后入院的48例患者納入研究組，男27例、女21例，患者年齡24～68歲，平均（56.51±3.42）歲，納入標準：患者術前均經胃鏡及病理檢查確診且符合手術相關指征;患者及家屬均對研究知情同意，自愿配合研究并簽署知情同意書。排除標準：心、肝等重要臟器功能受損的患者;合并凝血功能障礙的患者;有腹部手術史的患者。將兩組基線資料比較，差異無統計學意義（P>0.05），可進行對比研究。