CAJ | 학술논문

目的：探究急腹症并发抑郁症患者实施快速康复外科护理对其术后病情康复及情绪状况的影响，并为这类人群的优质护理服务积累经验。方法选取我院普外科于2010年8月～2012年7月收治的39例急腹症并发抑郁症患者，设为对照组，实施常规普外科护理干预；选取我院普外科于2012年8月～2014年7月收治的43例急腹症并发抑郁症患者，设为研究组，实施快速康复外科护理干预。两组患者均于住院当天及干预后第5天末均接受简明抑郁症评定量表（BPRS）测评，同时记录两组患者术后进食时间、下床活动时间、医疗费用、住院时间、并发症发生率。结果研究组下次活动时间、术后进食时间、住院时间短于对照组（P＜0.05），并发症发生率及医疗费用低于对照组（P＜0.05）。两组干预前BPRS评分差异无统计学意义（P＞0.05）；干预后，研究组焦虑忧郁因子、缺乏活力因子、思维障碍因子及敌对猜疑因子均低于对照组（P＜0.05），激活性因子高于对照组（P＜0.05）。结论对于并发抑郁症的急腹症患者，快速康复外科理念能促进患者病情预后康复，降低并发症发生率，且有助于改善患者情感状态，促进社会功能的早日回归，取得较为满意的临床成效。
목적：탐구급복증병발억욱증환자실시쾌속강복외과호리대기술후병정강복급정서상황적영향，병위저류인군적우질호리복무적루경험。방법선취아원보외과우2010년8월～2012년7월수치적39례급복증병발억욱증환자，설위대조조，실시상규보외과호리간예；선취아원보외과우2012년8월～2014년7월수치적43례급복증병발억욱증환자，설위연구조，실시쾌속강복외과호리간예。량조환자균우주원당천급간예후제5천말균접수간명억욱증평정량표（BPRS）측평，동시기록량조환자술후진식시간、하상활동시간、의료비용、주원시간、병발증발생솔。결과연구조하차활동시간、술후진식시간、주원시간단우대조조（P＜0.05），병발증발생솔급의료비용저우대조조（P＜0.05）。량조간예전BPRS평분차이무통계학의의（P＞0.05）；간예후，연구조초필우욱인자、결핍활력인자、사유장애인자급활대시의인자균저우대조조（P＜0.05），격활성인자고우대조조（P＜0.05）。결론대우병발억욱증적급복증환자，쾌속강복외과이념능촉진환자병정예후강복，강저병발증발생솔，차유조우개선환자정감상태，촉진사회공능적조일회귀，취득교위만의적림상성효。
Objective To explore the effect of implementing fast rehabilitation surgery nursing on the postoperative condition and mood of acute abdomen complicated with depressive disorder,and accumulate experience for the high quality of nursing service in this group. Methods 39 cases of acute abdomen complicated with depression patients were selected in our hospital in 2010 August to 2012year in July in Department of general surgery were set as the control group,routine nursing intervention,the implementation of the department of general surgery;43 cases of acute abdomen complicated with depression patients were selected in our hospital in 2012 August to 2014 year in July in department of general surgery were set as the study group,the implementation of fast track surgery,nursing intervention.Two groups of patients in hospitalization day and intervention the end of 5D underwent brief depression rating scale(BPRS)assessment,two patients were also recorded after the group eating time,ambulation time,medical expenses,hospitalization time,complications rate. Results The study group the next activity time,postoperative eating time,hospitalization time was shorter than the control group(P < 0.05),the incidence of complications and medical cost lower than that of the control group(P < 0.05).BPRS scores have no significant difference between two groups before the intervention(P > 0.05)after the intervention,the study group;anxiety depression factor,lack of energy factor,thinking disorder factor and hostile factors were lower than the control group(P < 0.05),activated factor was higher than that in control group(P < 0.05). Conclusion For patients with acute abdomen complicated with depression,the concept of rapid rehabilitation surgery can promote the rehabilitation of patients with the disease prognosis,reduce the incidence of complications,and help to improve the emotional state of patients, promote the social function of the early return, achieved satisfactory clinical results.