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智能信息化围手术期护理对胃肠手术患者术后康复、并发症及生活质量的影响。

Impact of intelligent information-based perioperative care on postoperative rehabilitation, complications, and quality of life of patients undergoing gastrointestinal surgery.

机构信息

Department of Anesthesiology, The 904th Hospital of Joint Logistic Support Force, PLA Jiangsu Wuxi, Wuxi, Jiangsu, China.

Department of Orthopedics, The 904th Hospital of Joint Logistic Support Force, PLA Jiangsu Wuxi, Wuxi, Jiangsu, China.

出版信息

Medicine (Baltimore). 2023 Nov 17;102(46):e35977. doi: 10.1097/MD.0000000000035977.

DOI:10.1097/MD.0000000000035977
PMID:37986341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10659636/
Abstract

To investigate the impact of perioperative intelligent information-based care on postoperative rehabilitation, complications, and quality of life of patients in the operating room. Retrospective analysis of information on 84 patients who underwent gastrointestinal surgery in our hospital from May 2021 to May 2022 were divided into to control group (n = 42) and observation group (n = 42) according to different care modalities. The control group received conventional care, while the observation group received intelligent information-based perioperative care. The total postoperative treatment time, length of stay, Pittsburgh Sleep Quality Index score, Pain Numerical Rating Scale score, Hamilton Anxiety Scale score, Hamilton Depression Scale score, complication rate, quality of life score, and nursing satisfaction were observed. The total postoperative treatment time and total hospital stay in the observation group were significantly shorter than that of the control group (P < .05). After care, the Pittsburgh Sleep Quality Index and Numerical Rating Scale scores in the observation group were significantly lower than that of the control group (P < .05). After care, Hamilton Anxiety Scale and Hamilton Depression Scale scores were significantly lower in both groups, and the observation group was lower than the control group (P < .05). The complication rate in the observation groups was 11.9% (5/42), which was significantly lower than that of 47.62% (20/42) in the control group (P < .001). The quality of life of patients such as physical ability, pain, mood, sleep, social activity, and physical activity scores in the observation group were significantly lower than that of the control group after care (P < .05). The nursing satisfaction rate of patients in the observation group was 95.27% (40/42), which was significantly higher than that of 78.57% (33/42) in the control group (P = .024). Intelligent information-based perioperative care can promote the postoperative recovery of patients undergoing gastrointestinal surgery, can successfully improve patients' sleep quality and pain level, alleviate negative emotions, reduce the risk of postoperative complications, and improve patients' quality of life and satisfaction, which is worthy of clinical promotion.

摘要

目的

探讨围手术期智能信息化护理对手术室患者术后康复、并发症及生活质量的影响。回顾性分析我院 2021 年 5 月至 2022 年 5 月间收治的 84 例行胃肠手术患者的信息,按照不同护理方式分为对照组(n=42)和观察组(n=42)。对照组接受常规护理,观察组接受围手术期智能信息化护理。观察两组患者的总术后治疗时间、住院时间、匹兹堡睡眠质量指数(PSQI)评分、疼痛数字评分量表(NRS)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、并发症发生率、生活质量评分和护理满意度。观察组的总术后治疗时间和总住院时间明显短于对照组(P<0.05)。护理后,观察组的 PSQI 评分和 NRS 评分均明显低于对照组(P<0.05)。护理后,两组的 HAMA 评分和 HAMD 评分均明显降低,且观察组低于对照组(P<0.05)。观察组并发症发生率为 11.9%(5/42),明显低于对照组的 47.62%(20/42)(P<0.001)。观察组患者在躯体能力、疼痛、情绪、睡眠、社会活动和躯体活动评分等方面的生活质量明显高于对照组护理后(P<0.05)。观察组患者的护理满意度为 95.27%(40/42),明显高于对照组的 78.57%(33/42)(P=0.024)。围手术期智能信息化护理可促进胃肠手术患者术后康复,能成功改善患者的睡眠质量和疼痛水平,缓解负性情绪,降低术后并发症风险,提高患者的生活质量和满意度,值得临床推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2221/10659636/3bb3ac2e6a95/medi-102-e35977-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2221/10659636/3bb3ac2e6a95/medi-102-e35977-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2221/10659636/3bb3ac2e6a95/medi-102-e35977-g001.jpg

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