Chong Wu, Che Xiao-Yan, Wan Wan, Wu Jing
Department of Andrology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.
Zhonghua Nan Ke Xue. 2016 Nov;22(11):1001-1004.
To evaluate the application of the fast-track surgery (FTS) concept in the nursing care of andrological patients during the perioperative period.
A total of 200 males to be treated by andrological surgery were included in a control group and another 200 in an observation group, the former received conventional perioperative nursing care, while the latter underwent an FTS nursing care procedure including a variety of proven effective methods to reduce surgical stress and achieve a quick recovery during the perioperative period. Comparisons were made between the two groups of patients in the postoperative enterokinesia time, anal exhaust time, eating time, off-bed time, defecating time, bowel preparation complications, and degree of comfort and satisfaction.
Compared with the controls, the patients in the observation group showed significantly earlier postoperative enterokinesia time (［5.8±0.9］ vs ［4.4±1.4］ h, P<0.01), anal exhaust time (［10.8±1.8］ vs ［7.7±2.0］ h, P<0.01), eating time (［12.9±0.7］ vs ［6.3±0.7］ h, P<0.01), off-bed time ［14.3±2.7］ vs ［8.2±1.4］ h, P<0.01), and defecating time (［49.2±2.6］ vs ［39.6±2.5］ h, P<0.01), a lower incidence of bowel preparation complications (P<0.01), and a higher degree of comfort (P<0.01) and satisfaction (［97.5±0.7］% vs ［99.4±+0.3］ %, P<0.01).
The FTS concept can be safely and effectively applied to the perioperative nursing care of andrological patients to achieve a faster recovery and higher degree of comfort and satisfaction postoperatively.
评估快速康复外科（FTS）理念在男科患者围手术期护理中的应用。
选取200例拟行男科手术治疗的男性患者作为对照组，另选200例作为观察组。对照组接受传统围手术期护理，观察组采用FTS护理程序，包括多种经证实有效的减轻手术应激及促进围手术期快速康复的方法。比较两组患者术后胃肠蠕动时间、肛门排气时间、进食时间、下床时间、排便时间、肠道准备并发症、舒适度及满意度。
与对照组相比，观察组患者术后胃肠蠕动时间（［5.8±0.9］对［4.4±1.4］小时，P<0.01）、肛门排气时间（［10.8±1.8］对［7.7±2.0］小时，P<0.01）、进食时间（［12.9±0.7］对［6.3±0.7］小时，P<0.01）、下床时间［14.3±2.7］对［8.2±1.4］小时，P<0.01）及排便时间（［49.2±2.6］对［39.6±2.5］小时，P<0.01）明显提前，肠道准备并发症发生率更低（P<0.01），舒适度更高（P<0.01），满意度更高（［97.5±0.7］%对［99.4±0.3］%，P<0.01）。
FTS理念可安全有效地应用于男科患者围手术期护理，以实现术后更快康复及更高的舒适度和满意度。
