中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
13期
1508-1511
,共4页
金宗兰%丁萍%杨巧兰%刘玲%李磊%宋真%孙梅林%李元海
金宗蘭%丁萍%楊巧蘭%劉玲%李磊%宋真%孫梅林%李元海
금종란%정평%양교란%류령%리뢰%송진%손매림%리원해
肾上腺肿瘤%后腹腔镜%康复护理%手术后并发症%早期下床活动
腎上腺腫瘤%後腹腔鏡%康複護理%手術後併髮癥%早期下床活動
신상선종류%후복강경%강복호리%수술후병발증%조기하상활동
Adrenal tumors%Retroperitoneal laparoscopic%Recovery nursing%Postoperative complication%Early ambulation
目的 探索和实践早期下床活动护理模式对后腹腔镜下肾上腺肿瘤切除术患者快速康复的影响.方法 将2013年6月-2014年6月120例行后腹腔镜下肾上腺肿瘤切除术的患者作为研究对象,根据计算机随机函数法将患者分为对照组和干预组.对照组采用常规围术期护理,干预组按照早期下床活动护理模式进行干预.记录患者下床活动时间、患者疼痛程度、首次进食时间、输液时间、术后住院时间、住院费用和并发症的情况.结果 干预组患者平均下床时间为(10.8±5.1)h,短于对照组的(28.2±12.0)h,差异有统计学意义(t=10.100,P＜0.01).干预组患者术后24 h VAS评分为(0.9±1.0)分,对照组为(1.7±1.2)分,差异有统计学意义(t =4.032,P＜0.01).术后干预组患者首次进食时间、输液时间、术后住院时间、治疗费用分别为(8.4±3.7)h,(2.5±1.1)d,(3.2±1.6)d,(2.0±0.5)万元,均优于对照组,差异有统计学意义(t值分别为14.260,5.373,4.815,4.033;P ＜0.01).干预组患者并发症的发生率为5.3％,低于对照组的18.6％,差异有统计学意义(x2=4.891,P＜0.05).结论 对腹腔镜下肾上腺肿瘤切除术患者进行早期下床活动的护理干预可以促进患者快速康复.
目的 探索和實踐早期下床活動護理模式對後腹腔鏡下腎上腺腫瘤切除術患者快速康複的影響.方法 將2013年6月-2014年6月120例行後腹腔鏡下腎上腺腫瘤切除術的患者作為研究對象,根據計算機隨機函數法將患者分為對照組和榦預組.對照組採用常規圍術期護理,榦預組按照早期下床活動護理模式進行榦預.記錄患者下床活動時間、患者疼痛程度、首次進食時間、輸液時間、術後住院時間、住院費用和併髮癥的情況.結果 榦預組患者平均下床時間為(10.8±5.1)h,短于對照組的(28.2±12.0)h,差異有統計學意義(t=10.100,P＜0.01).榦預組患者術後24 h VAS評分為(0.9±1.0)分,對照組為(1.7±1.2)分,差異有統計學意義(t =4.032,P＜0.01).術後榦預組患者首次進食時間、輸液時間、術後住院時間、治療費用分彆為(8.4±3.7)h,(2.5±1.1)d,(3.2±1.6)d,(2.0±0.5)萬元,均優于對照組,差異有統計學意義(t值分彆為14.260,5.373,4.815,4.033;P ＜0.01).榦預組患者併髮癥的髮生率為5.3％,低于對照組的18.6％,差異有統計學意義(x2=4.891,P＜0.05).結論 對腹腔鏡下腎上腺腫瘤切除術患者進行早期下床活動的護理榦預可以促進患者快速康複.
목적 탐색화실천조기하상활동호리모식대후복강경하신상선종류절제술환자쾌속강복적영향.방법 장2013년6월-2014년6월120례행후복강경하신상선종류절제술적환자작위연구대상,근거계산궤수궤함수법장환자분위대조조화간예조.대조조채용상규위술기호리,간예조안조조기하상활동호리모식진행간예.기록환자하상활동시간、환자동통정도、수차진식시간、수액시간、술후주원시간、주원비용화병발증적정황.결과 간예조환자평균하상시간위(10.8±5.1)h,단우대조조적(28.2±12.0)h,차이유통계학의의(t=10.100,P＜0.01).간예조환자술후24 h VAS평분위(0.9±1.0)분,대조조위(1.7±1.2)분,차이유통계학의의(t =4.032,P＜0.01).술후간예조환자수차진식시간、수액시간、술후주원시간、치료비용분별위(8.4±3.7)h,(2.5±1.1)d,(3.2±1.6)d,(2.0±0.5)만원,균우우대조조,차이유통계학의의(t치분별위14.260,5.373,4.815,4.033;P ＜0.01).간예조환자병발증적발생솔위5.3％,저우대조조적18.6％,차이유통계학의의(x2=4.891,P＜0.05).결론 대복강경하신상선종류절제술환자진행조기하상활동적호리간예가이촉진환자쾌속강복.
Objective To investigate the effects on early ambulation for rapid recovery in patients undergoing retroperitoneal laparoscopic adrenalectomy.Methods From June 2013 to June 2014,120 cases underwent retroperitoneal laparoscopic adrenalectomy were randomly divided into the control group and the experimental group.The patients in the control group were taken conventional preoperative cares.Meanwhile,early ambulation interventions were given to the experimental group.Time for early ambulation,first eating and venous transfusion,postoperative hospital stays,hospitalization costs and complications were evaluated.Results The mean time of postoperative ambulation in the experimental group was (10.8 ± 5.1) hours,which was significantly higher than that of the control group (28.2 ± 12.0) hours,(t =10.100,P ＜ 0.01).After 24 hours of the operation,score of VAS in the experimental group was (0.9 ± 1.0),which was significantly lower than that of the control group (1.7 ± 1.2),(t =4.032,P ＜ 0.01).The eating time,transfusion time,postoperative hospital stays and hospitalization costs of the experimental group were (8.4 ± 3.7) hours,(2.5 ±1.1) days,(3.2 ± 1.6) days and (20 000 ± 5 000) RMB,which were significantly better than those of the control group (t =14.260,5.373,4.815,4.033,respectively;P ＜ 0.01).The rate of complication in the experimental group was 5.3％,which was significantly lower than that of the control group(18.6％),(x2 =4.891,P ＜ 0.05).Conclusions Nursing interventions with early ambulation model in patients undergoing retroperitoneal laparoscopic adrenalectomy can reduce postoperative hospital stays,hospitalization costs and eventually promote rapid recovery.
