CAJ | 학술논문

目的:评价快速康复外科(FTS)理念在泌尿外科患者围术期中的应用效果.方法:选取我院泌尿外科接受手术治疗的100例患者作为研究对象,将其分为对照组和观察组各50例.对照组采用常规手术护理,观察组在围术期护理过程中贯穿FTS理念.比较两组患者围术期的心率、血压及体温应激变化,记录两组患者固体食物耐受时间、术后下床活动时间及术后住院时间,调查两组患者满意度情况.结果:①观察组患者术前30min的心率、血压值稳定性优于对照组,差异具有统计学意义(P<0.01),但体温值差异无统计学意义(P>0.05);术后30min,观察组患者的心率、血压及体温值均较对照组更接近正常值,差异具有统计学意义(P<0.01).②观察组患者固体食物耐受时间、术后下床活动时间及术后住院时间均较对照组缩短(P<0.01).③观察组患者满意度优于对照组(P<0.05).结论:FTS理念满足泌尿外科围术期患者的需求,缩短康复时间,提高了患者对护理工作的满意度.
목적:평개쾌속강복외과(FTS)이념재비뇨외과환자위술기중적응용효과.방법:선취아원비뇨외과접수수술치료적100례환자작위연구대상,장기분위대조조화관찰조각50례.대조조채용상규수술호리,관찰조재위술기호리과정중관천FTS이념.비교량조환자위술기적심솔、혈압급체온응격변화,기록량조환자고체식물내수시간、술후하상활동시간급술후주원시간,조사량조환자만의도정황.결과:①관찰조환자술전30min적심솔、혈압치은정성우우대조조,차이구유통계학의의(P<0.01),단체온치차이무통계학의의(P>0.05);술후30min,관찰조환자적심솔、혈압급체온치균교대조조경접근정상치,차이구유통계학의의(P<0.01).②관찰조환자고체식물내수시간、술후하상활동시간급술후주원시간균교대조조축단(P<0.01).③관찰조환자만의도우우대조조(P<0.05).결론:FTS이념만족비뇨외과위술기환자적수구,축단강복시간,제고료환자대호리공작적만의도.
Objective: To evaluate the effect of Fast-Track Surgery (FTS) during perioperation period for urology surgery patients. Methods: We selected 100 urology surgery patients who accept operation treatment as the research object, and through randomized single blind digital way, they were divided into the control group and the observation group with 50 cases in each group. The control group were given conventional operation nursing, the observation group throughout the FTS concept in the perioperative period nursing process. We compared two groups of patients with perioperative heart rate, blood pressure and temperature stress changes, and recorded two groups patients of postoperative hospitalization time, solid food tolerance time, ambulation time, two groups of patients' satisfaction survey. Results:①The observation group patients before 30 minutes of heart rate, blood pressure values were better than the control group,it had signiifcant difference (P<0.01), but no statistical difference of temperature value (P>0.05); postoperative 30min, observation group of patients with heart rate, blood pressure and temperature values were relatively stable than control group, and had statistically signiifcant difference (P<0.01).②The observation group patients' solid food tolerance time, ambulation time and postoperative hospitalization time were shorter than the control group (P<0.01).③The observation group patients' satisfaction rate signiifcantly more than the control group, the difference had statistically signiifcant (P<0.01). Conclusion: The concept of FTS can meet the demand of department of urology patients during perioperative period, shorten the recovery time, improve the patients' satisfaction to nursing work.