加速康复外科理念联合共情护理对妇科恶性肿瘤患者围术期并发症预防及术后康复的影响。
Effects of the Concept of Fast-Track Surgery Combined with Empathic Nursing on Perioperative Complication Prevention and Postoperative Recovery of Gynecological Malignant Tumor Patients.
机构信息
Department of Gynecology, Hebei General Hospital, Shijiazhuang, Hebei 050051, China.
Department of Oncology, Hebei General Hospital, Shijiazhuang, Hebei 050051, China.
出版信息
Comput Math Methods Med. 2022 Jul 31;2022:4381297. doi: 10.1155/2022/4381297. eCollection 2022.
OBJECTIVE
This study is aimed at exploring the effects of the concept of fast-track surgery (FTS) combined with empathic nursing on perioperative complication prevention and postoperative recovery of gynecological malignant tumor patients.
METHODS
A total of 180 patients with gynecological malignant tumor treated by surgery in our hospital from September 2018 to October 2021 were randomly divided into three groups: group A, group B, and group C, with 60 patients in each group. Group C was given conventional nursing intervention, group B was given FTS intervention, and group A was given FTS intervention combined with empathic care. Psychological stress state (systolic blood pressure, diastolic blood pressure, and heart rate), postoperative recovery indicators (time of first anal exhaust, time of first defecation, time of getting out of bed, and length of postoperative hospital stay), postoperative complications, and psychological state (Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)) levels of patients in the three groups were compared.
RESULTS
Systolic blood pressure, diastolic blood pressure, and heart rate in group A were lower than those in group B, and those in group B were lower than those in group C (all < 0.05). The time of first anal exhaust, time of first defecation, time of getting out of bed, and postoperative hospital stay in groups A and B were shorter than those in group C (all < 0.05).The incidence of postoperative complications in groups A and B was 8.33% and 8.33%, respectively, lower than 23.33% in group C (both < 0.05). SAS and SDS scores of group A were lower than those of groups B and C after intervention (all < 0.05).
CONCLUSION
The concept of FTS combined with empathic nursing is beneficial to reduce the stress response of patients with gynecological malignant tumor before surgery, reduce the risk of postoperative complications, improve patients' mood, and speed up the rehabilitation process of patients.
目的
本研究旨在探讨快速康复外科（FTS）理念联合共情护理对妇科恶性肿瘤患者围手术期并发症预防及术后康复的影响。
方法
选取我院 2018 年 9 月至 2021 年 10 月收治的 180 例行手术治疗的妇科恶性肿瘤患者，随机分为 3 组，每组 60 例。C 组给予常规护理干预，B 组给予 FTS 干预，A 组给予 FTS 干预联合共情护理。比较 3 组患者的心理应激状态（收缩压、舒张压、心率）、术后恢复指标（首次肛门排气时间、首次排便时间、下床时间、术后住院时间）、术后并发症发生情况及心理状态（焦虑自评量表（SAS）、抑郁自评量表（SDS））评分。
结果
A 组收缩压、舒张压及心率均低于 B 组，B 组低于 C 组（均 < 0.05）。A 组和 B 组首次肛门排气时间、首次排便时间、下床时间及术后住院时间均短于 C 组（均 < 0.05）。A 组和 B 组术后并发症发生率分别为 8.33%、8.33%，低于 C 组的 23.33%（均 < 0.05）。干预后 A 组 SAS、SDS 评分均低于 B 组和 C 组（均 < 0.05）。
结论
FTS 理念联合共情护理有利于减轻妇科恶性肿瘤患者术前应激反应，降低术后并发症发生风险，改善患者情绪，加快患者康复进程。
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