Department of Emergency, People's Hospital of Rizhao, Jining Medical University, Shandong, China.
School of Nursing, Sun Yat Sen University, Guangdong, Guangzhou, China.
Medicine (Baltimore). 2023 Oct 20;102(42):e35665. doi: 10.1097/MD.0000000000035665.
To explore the effect of full-cycle fast track surgical (FTS) nursing in patients with replantation of severed fingers, and observe its effect on functional recovery of replanted fingers and quality of life of patients. From January 2021 to December 2022, 86 patients with replantation of severed fingers were selected from Rizhao People's Hospital, 41 patients were given routine perioperative care, 45 patients were given full-cycle rapid rehabilitation surgical care. Compare the relevant indexes of the 2 groups of patients during hospitalization. Three months after discharge, the finger function recovery of the 2 groups were compared, and the quality of life of the patients was scored with the QL-Index scale, and the satisfaction was evaluated at the same time. The first time of getting out of bed and the time of hospitalization in the full-cycle FTS nursing group were significantly shorter than those in the conventional nursing group, and the incidence of postoperative nausea, vomiting, constipation and venous thromboembolism were significantly lower than those in the conventional nursing group. The anxiety score was significantly lower than that in the conventional nursing group, the difference was statistically significant (P < .05). There was no significant difference in the incidence of arteriovenous crisis between the 2 groups (P > .05). Three months after discharge, the scores of finger sensation and movement, quality of life and satisfaction of patients in the FTS nursing group were higher than those in the conventional nursing group, and the difference was statistically significant (P < .05). Full-cycle fast track surgical nursing model can improve the in-patient experience, reduce the incidence of complications, promote rapid rehabilitation, improve the quality of life of patients, and improve satisfaction.
探讨全周期快速康复外科护理在断指再植患者中的应用效果,观察其对再植手指功能恢复及患者生活质量的影响。选取 2021 年 1 月至 2022 年 12 月日照市人民医院收治的 86 例断指再植患者,其中 41 例行常规围术期护理,45 例行全周期快速康复外科护理。比较两组患者住院期间相关指标,出院后 3 个月比较两组患者手指功能恢复情况,采用 QL-Index 量表对患者生活质量进行评分,同时进行满意度评价。全周期 FTS 护理组患者首次下床时间、住院时间均明显短于常规护理组,术后恶心、呕吐、便秘、静脉血栓栓塞症发生率明显低于常规护理组,焦虑评分明显低于常规护理组,差异均有统计学意义(P<0.05)。两组患者动静脉危象发生率比较差异无统计学意义(P>0.05)。出院后 3 个月,FTS 护理组患者手指感觉、运动功能评分、生活质量评分及满意度均高于常规护理组,差异有统计学意义(P<0.05)。全周期快速康复外科护理模式可改善患者住院体验,降低并发症发生率,促进快速康复,提高患者生活质量,提升满意度。