Xie Guiyu, Liu Fan, Fan Li, Wen Yi
Department of Orthopedics, Foshan Hospital of Traditional Chinese Medicine (Spinal Surgery), Foshan 528000, Guangdong, China.
Emerg Med Int. 2022 Aug 5;2022:9291583. doi: 10.1155/2022/9291583. eCollection 2022.
The study aimed to analyze the effect of fast-track surgery with pain care on the improvement of postoperative pain and the prevention of postoperative complications in perioperative spinal surgery patients.
A total of 126 patients undergoing spinal surgery from January 2021 to September 2021 were chosen as the study population, and the patients were classified into the regular group, the FTS group, and the combined group by random grouping, with 42 cases in each group. Patients in the regular group used routine perioperative care in spine surgery, patients in the FTS group used the FTS care model, and patients in the combined group combined special pain care on the basis of the FTS group. We compared the numeric rating scale (NRS) and pain severity of patients in the three groups post-op, 30 min, 1 h, 3 h, 6 h, and 24 h after surgery; we compared the time to get out of bed, length of stay, and occurrence of postoperative adverse effects in the three groups, compared the incidence of complications in the three groups, and compared the satisfaction of care in the three groups.
The NRS scores at 12 h, 24 h, 48 h, and 72 h post-op in the combined group and FTS group were lower than those in the regular group, and the NRS scores at 12 h and 24 h post-op in the combined group were lower than those in the FTS group (all < 0.05); the post-op bed activity time, post-op hospitalization time, post-op adverse reaction rate, and post-op complication rate in the combined group and FTS group were shorter or lower than those of the regular group. Nursing satisfaction was higher than that of the regular group, the post-op time to bed activity in the combined group was shorter than that of the FTS group, and nursing satisfaction was higher than that of the FTS group (all < 0.05).
The use of FTS with pain care interventions helps relieve postoperative pain in perioperative patients in spine surgery, reduce the incidence of post-op adverse effects and complications in patients, accelerate their postoperative recovery, and improve nursing satisfaction.
本研究旨在分析快速康复外科联合疼痛护理对脊柱手术围手术期患者术后疼痛改善及术后并发症预防的效果。
选取2021年1月至2021年9月期间行脊柱手术的126例患者作为研究对象，采用随机分组的方式将患者分为常规组、快速康复外科（FTS）组和联合组，每组42例。常规组患者采用脊柱手术围手术期常规护理，FTS组患者采用FTS护理模式，联合组患者在FTS组的基础上联合特殊疼痛护理。比较三组患者术后、术后30分钟、1小时、3小时、6小时和24小时的数字评分量表（NRS）及疼痛严重程度；比较三组患者的下床时间、住院时间及术后不良反应发生情况，比较三组患者的并发症发生率，比较三组患者的护理满意度。
联合组和FTS组术后12小时、24小时、48小时和72小时的NRS评分低于常规组，联合组术后12小时和24小时的NRS评分低于FTS组（均P<0.05）；联合组和FTS组的术后床上活动时间、术后住院时间、术后不良反应发生率及术后并发症发生率均短于或低于常规组。护理满意度高于常规组，联合组的术后下床活动时间短于FTS组，护理满意度高于FTS组（均P<0.05）。
采用FTS联合疼痛护理干预有助于缓解脊柱手术围手术期患者的术后疼痛，降低患者术后不良反应及并发症的发生率，加速患者术后康复，提高护理满意度。
