快速康复护理在腹腔镜下全子宫切除中的应用

目的探讨在腹腔镜下全子宫切除术中应用快速康复护理措施对患者围手术期指标和患者并发症的影响。方法将在本院行腹腔镜下全子宫切除术的70例患者随机分为两组,各35例,对照组35例给予常规护理,观察组35例给予快速康复护理,对比两组围手术期相关指标、手术前后VAS评分、并发症发生情况以及患者护理满意度。结果观察组胃肠蠕动时间(9.32±1.67)h]、肛门排气时间(4.67±1.37)h]、下床活动时间(6.69±1.24)h]、术后进食时间(6.21±0.55)h]和住院时间(4.25±1.20)d]均显著短于对照组的(12.87±2.08)h]、(7.28±1.13)h]、(9.75±3.29)h](9.33±0.61)h]、(7.25±1.38)d],P<0.05;观察组术后1 d和术后3 d的VAS评分分别为(4.01±1.28)分、(1.23±0.35)分,显著低于对照组的(6.80±1.32)分、(2.62±0.41)分,P<0.05;观察组和对照组术后并发症发生率(2.86%vs 17.14%)和患者护理满意度(97.14%vs.80.00%)比较,观察组均显著优于对照组P<0.05。结论对于行腹腔镜下全子宫切除术的患者,给予快速康复护理模式可促进患者早期康复,减少术后疼痛程度,降低术后并发症发生率。

Application of Rapid Rehabilitation Nursing in Laparoscopic Hysterectomy

Objective To investigate the effects of rapid rehabilitation nursing measures on perioperative indicators and patient complications during laparoscopic hysterectomy. Methods Seventy patients who underwent laparoscopic hysterectomy in our hospital were randomly divided into two groups, 35 in each group. 35 patients in the control group received routine nursing care, and 35 patients in the observation group were given rapid rehabilitation care, perioperative indicators, VAS scores before and after surgery, complications, and patient care satisfaction were compared between the two groups. Results Observation group gastrointestinal motility time (9.32 ± 1.67) h], anal exhaust time (4.67 ± 1.37) h], time to get out of bed (6.69 ± 1.24) h], postoperative feeding time (6.21 ± 0.55) h] and length of stay (4.25 ± 1.20) d] were significantly shorter than (12.87 ± 2.08) h], (7.28 ± 1.13) h], (9.75 ± 3.29) h], ( 9.33 ± 0.61) h], (7.25 ± 1.38) d], P < 0.05;The VAS scores in the observation group at 1 and 3 days after operation were(4.01 ± 1.28) points and(1.23 ± 0.35) points, which were significantly lower than the control group’s(6.80 ± 1.32) points and(2.62 ± 0.41) points, P < 0.05;The incidence of postoperative complications(2.86% vs 17.14%) and patient care satisfaction(97.14% vs. 80.00%) in the observation and control groups were significantly better than those in the control group(P < 0.05). Conclusion For patients undergoing laparoscopic hysterectomy, a rapid rehabilitation model can promote early rehabilitation, reduce postoperative pain, and reduce the incidence of postoperative complications.