發(fā)布時間：2018-06-18 23:36

  本文選題：快速康復(fù) + 男科��； 參考：《中華男科學(xué)雜志》2016年11期

【摘要】：目的:研究快速康復(fù)外科(FTS)在男科圍手術(shù)期護(hù)理中的應(yīng)用效果。方法:選擇行男科手術(shù)200例患者作為對照組,采用傳統(tǒng)護(hù)理方法。男科手術(shù)的另200例患者作為觀察組,應(yīng)用FTS理念進(jìn)行圍手術(shù)期護(hù)理,在圍手術(shù)期間應(yīng)用各種已證實有效的方法,減少患者手術(shù)應(yīng)激,使其快速康復(fù)。比較兩組患者術(shù)后腸蠕動時間、首次排氣時間、進(jìn)食時間、下床活動時間、首次排便時間及腸道準(zhǔn)備并發(fā)癥,舒適度、患者護(hù)理滿意度。結(jié)果:觀察組與對照組相比,術(shù)后腸蠕動時間分別為(4.4±1.4)h和(5.8±0.9)h,首次排氣時間(7.7±2.0)h和(10.8±1.8)h,進(jìn)食時間(6.3±0.7)h和(12.9±0.7)h,下床活動時間(8.2±1.4)h和(14.3±2.7)h,首次排便時間(39.6±2.5)h和(49.2±2.6)h,以上5項指標(biāo)觀察組均短于對照組(P0.01);患者腸道準(zhǔn)備并發(fā)癥發(fā)生率觀察組低于對照組(P0.05);觀察組留置與早期拔除導(dǎo)尿管的舒適度高于對照組(P0.01);護(hù)理滿意度[(99.4±0.3)%和(97.5±0.7)%],觀察組高于對照組,兩組比較差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:快速康復(fù)在男科圍手術(shù)期護(hù)理中的應(yīng)用是實效安全的,可以促進(jìn)康復(fù),改善質(zhì)量,值得在男科臨床護(hù)理中推廣與應(yīng)用。
[Abstract]:Objective: to study the effect of Fast Rehabilitation surgery (FTS) in perioperative nursing of andrology. Methods: 200 patients undergoing andrological operation were selected as control group and traditional nursing methods were used. Another 200 cases of male surgery were used as observation group. The perioperative nursing was carried out with FTS concept. During the perioperative period, all kinds of proven effective methods were used to reduce the surgical stress and make the patients recover quickly. The time of peristalsis, the time of first exhaust, the time of eating, the time of getting out of bed, the time of first defecation, the complications of intestinal preparation, the degree of comfort, the satisfaction of nursing were compared between the two groups. Results: the observation group was compared with the control group. Postoperative peristalsis time were 4.4 鹵1.4hand 5.8 鹵0.9h. the first venting time was 7.7 鹵2.0hand 10.8 鹵1.8h., the feeding time was 6.3 鹵0.7hand 12.9 鹵0.7h., the time of getting out of bed was 8.2 鹵1.4hand 14.3 鹵2.7h. the first defecation time was 39.6 鹵2.5hand 49.2 鹵2.6h. the above five indexes were shorter than those of the control group (P0.01). The incidence of occurrences in the observation group was lower than that in the control group (P 0.05), the comfort of indwelling and early removal of urethral catheter in the observation group was higher than that in the control group (P 0.01), and the nursing satisfaction degree [99.4 鹵0.3% and 97.5 鹵0.7%] was higher in the observation group than in the control group. The difference between the two groups was statistically significant (P 0.05). Conclusion: the application of rapid rehabilitation in perioperative nursing of andrology is effective and safe. It can promote rehabilitation and improve quality. It is worth popularizing and applying in clinical nursing of andrology.
【作者單位】： 南京大學(xué)醫(yī)學(xué)院附屬鼓樓醫(yī)院泌尿男科;
【基金】：鼓樓醫(yī)院院內(nèi)課題(ZSH439)~~
【分類號】：R473.6
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本文編號：2037288