快速康复理念在全腹腔镜下食管裂孔疝修补术患者围术期护理中的临床价值研究

doi:10.3877/cma.j.issn.2095-8765.2020.04.009

目的

分析快速康复理念在全腹腔镜下食管裂孔疝修补术患者围术期护理中的具体影响。

方法

选取2017年7月至2018年10月于新疆维吾尔自治区人民医院收治的食管裂孔疝患者90例。所有患者均行腹腔镜食管裂孔疝修补及护理，随机分为实验组和对照组各45例。实验组给予快速康复概念护理，对照组给予正常护理模式。对比各护理模式下，护理效果的差异，如住院时间、肛门疲劳时间、胃管拔出时间、首次进食时间、护理满意度及并发症发生率等。

结果

观察组在住院时间、肛门疲劳时间、胃管拔除时间、首餐时间、护理满意度、并发症等方面均优于对照组，且两组比较的差异有统计学意义（P＜0.05）。

结论

对于全腹腔镜下食管裂孔疝修补术患者在手术期间给与快速康复护理，可以有效地加快患者术后的康复速度，提高患者护理满意度，并降低术后并发症发生率，值得临床推广应用。

关键词: 快速康复理念, 全腹腔镜下食管裂孔疝气修补术, 围术期护理

Objective

To analyze the specific impact of the concept of rapid rehabilitation in the perioperative care of patients undergoing laparoscopic hiatal hernia repair.

Methods

From July 2017 to October 2018, we selected 90 patients with hiatal hernia admitted to the People's Hospital of Xinjiang Uygur Autonomous Region. All patients underwent laparoscopic hiatus hernia repair and nursing, and were randomly divided into experimental group and control group. The experimental group was given rapid rehabilitation concept nursing, and the control group was given normal nursing mode, with 45 cases in each group. Comparing the 90 nursing models from July 2017 to October 2018, it was observed that the remaining 45 patients recovered faster than the control group. Need to formulate and analyze the difference in nursing effect between the two groups. Compare the nursing effect of nursing exercise methods during the operation, such as hospitalization time, anal fatigue time, gastric tube extraction time, first meal time, nursing satisfaction, complication rate, etc.

Results

The observation group and the observation group had statistically significant differences in hospitalization time, anal fatigue time, gastric tube removal time, first meal time, nursing satisfaction, complications, etc. The observation group had advantages, P＜0.05.

Conclusions

For patients undergoing total laparoscopic hiatal hernia repair, rapid rehabilitation care during the operation can effectively speed up the recovery of patients after surgery, improve patient care satisfaction, and reduce the incidence of postoperative complications. It is worthy of clinical application.

Key words: rapid rehabilitation concept, Total laparoscopic hiatus hernia repair, Perioperative nursing

表1 两组患者手术期间各指标的比较（

x ˉ

±s）

组别	例数	住院时间（d）	肛门排气时间（h）	胃管拔出时间（h）	首次进食时间（h）
观察组	45	5.34±1.05	26.83±1.21	18.43±1.42	29.82±1.78
对照组	45	7.98±1.13	20.71±1.43	27.84±1.37	21.23±1.26
t		5.021	6.728	11.054	9.475
P		＜0.05	＜0.05	＜0.05	＜0.05

表1 两组患者手术期间各指标的比较（

x ˉ

±s）

组别	例数	住院时间（d）	肛门排气时间（h）	胃管拔出时间（h）	首次进食时间（h）
观察组	45	5.34±1.05	26.83±1.21	18.43±1.42	29.82±1.78
对照组	45	7.98±1.13	20.71±1.43	27.84±1.37	21.23±1.26
t		5.021	6.728	11.054	9.475
P		＜0.05	＜0.05	＜0.05	＜0.05

表2 两组患者护理满意度统计［例（%）］

组别	例数	非常满意	较为满意	不满意	满意度
观察组	45	23（51.11）	20（44.44）	2（4.45）	43（95.55）
对照组	45	20（44.44）	15（33.33）	10（22.23）	35（77.77）
χ²		1.834	2.834	12.834	12.834
P		＜0.05	＜0.05	＜0.05	＜0.05

表2 两组患者护理满意度统计［例（%）］

组别	例数	非常满意	较为满意	不满意	满意度
观察组	45	23（51.11）	20（44.44）	2（4.45）	43（95.55）
对照组	45	20（44.44）	15（33.33）	10（22.23）	35（77.77）
χ²		1.834	2.834	12.834	12.834
P		＜0.05	＜0.05	＜0.05	＜0.05

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Clinical value of enhanced recovery concept in perioperative nursing care of patients with total laparoscopic hiatal hernia repair

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Clinical value of enhanced recovery concept in perioperative nursing care of patients with total laparoscopic hiatal hernia repair