Application of fast track surgery in the perioperative nursing of patients with abdominal operation
10.3760/j.issn.1674-2907.2014.22.022
- VernacularTitle:快速康复外科在腹部手术患者围手术期护理中的应用
- Author:
Lifeng WANG
1
;
Chen XIE
Author Information
1. 277599 山东省枣庄市皮肤病性病防治院护理部
- Keywords:
Surgical operation;
Perioperative nursing;
Fast track surgery
- From:
Chinese Journal of Modern Nursing
2014;20(22):2793-2795
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the application effect of fast track surgery in the perioperative nursing of patients with abdominal operation .Methods Ninety-one patients with abdominal operation were chosen and divided into the control group (n=45) and the observation group (n=46) according the stratified randomization grouping method.The control group received the routine nursing , and the observation group received the fast track surgery.The preoperative discomfort , postoperative pain, time of gastrointestinal function recovery and the incidence rate of complications after operation were compared between two groups .Results Compared with the control group , the cases of patients with the sensation of thirst , hunger , anxiety in the observation group were significantly less than those in the control group , and the differences were statistically significant (χ2 =3.965, 11.984,17.036, respectively;P<0.05).The time of bowel movement after operation was (50.79 ±2.52) h in the observation group, and was (57.25 ±2.57) h in the control group, and the difference was statistically significant (t=1.795,P<0.05).The degree of postoperative pain in the observation group was lower than that of the control group, and the difference was statistically significant (Z=-4.768,P<0.01).The incidence rate of complications after operation in the observation group was 8.7%, and was lower than 28.9% in the control group, and the difference was statistically significant (χ2 =6.106,P<0.05).Conclusions Compared with conventional nursing , the nursing intervention of fast track surgery has obvious advantage to promote early recovery of patients with abdominal operation .