加速康复外科理念在胃肠外科护理管理中的应用价值研究

孙明旭 丛志平 王海燕

[摘要] 目的 探讨加速康复外科理念对胃肠外科护理管理效果的影响。方法 选取2016年1月—2018年12月期间该院收治的96例行胃肠手术的患者为研究对象，依据入院先后顺序将患者分为研究组和对照组，先入院的48例患者纳入对照组，实施常规管理，后入院的48例患者纳入研究组，实施加速康复外科护理管理，比较两组管理效果。结果 研究组肛门首次排气、肠鸣音恢复、首次进食时间均较对照组显著缩短（P<0.05）。研究组疼痛持續时间为（4.2±1.1）d，术后VAS疼痛评分为（1.9±0.7）分，均显著低于对照组（P<0.05）;研究组患者护理总满意率为93.75%，较对照组75.00%的护理满意率显著提高（P<0.05）。结论 加速康复外科理念在胃肠外科护理管理中的应用，有助于改善患者术后胃肠功能，提高护理满意，对于提升该院整体护理质量具有重要作用。

[关键词] 加速康复外科;护理管理;胃肠外科;术后康复

[中图分类号] R47 [文献标识码] A [文章编号] 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

加速康复外科理念属于新型外科管理路径，通过优化围手术期的多种护理措施，包括健康教育、术前准备、术后活动等，最大限度减少手术应激反应，从而缩短患者住院时间，减少并发症，提高患者生存质量，促进患者康复[1]。随着加速康复外科理念在我国应用的日益成熟，其优势得到了普遍认可。该次研究选取2016年1月—2018年12月期间该院收治的96例行胃肠手术的患者为研究对象，进一步从管理角度阐述了加速康复外科理念在胃肠手术患者中的应用价值，现报道如下。

1  资料与方法

1.1  一般资料

选取该院收治的96例行胃肠手术的患者为研究对象，依据入院先后顺序将患者分为研究组和对照组，先入院的48例患者纳入对照组，男25例、女23例，年龄26～69岁，平均（56.81±3.21）岁;后入院的48例患者纳入研究组，男27例、女21例，患者年龄24～68岁，平均（56.51±3.42）岁，纳入标准：患者术前均经胃镜及病理检查确诊且符合手术相关指征;患者及家属均对研究知情同意，自愿配合研究并签署知情同意书。排除标准：心、肝等重要脏器功能受损的患者;合并凝血功能障碍的患者;有腹部手术史的患者。将两组基线资料比较，差异无统计学意义（P>0.05），可进行对比研究。