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目的:研究快速康复外科(FTS)在男科围手术期护理中的应用效果。方法:选择行男科手术200例患者作为对照组,采用传统护理方法。男科手术的另200例患者作为观察组,应用FTS理念进行围手术期护理,在围手术期间应用各种已证实有效的方法,减少患者手术应激,使其快速康复。比较两组患者术后肠蠕动时间、首次排气时间、进食时间、下床活动时间、首次排便时间及肠道准备并发症,舒适度、患者护理满意度。结果:观察组与对照组相比,术后肠蠕动时间分别为(4.4±1.4)h和(5.8±0.9)h,首次排气时间(7.7±2.0)h和(10.8±1.8)h,进食时间(6.3±0.7)h和(12.9±0.7)h,下床活动时间(8.2±1.4)h和(14.3±2.7)h,首次排便时间(39.6±2.5)h和(49.2±2.6)h,以上5项指标观察组均短于对照组(P<0.01);患者肠道准备并发症发生率观察组低于对照组(P<0.05);观察组留置与早期拔除导尿管的舒适度高于对照组(P<0.01);护理满意度[(99.4±0.3)%和(97.5±0.7)%],观察组高于对照组,两组比较差异具有统计学意义(P<0.05)。结论:快速康复在男科围手术期护理中的应用是实效安全的,可以促进康复,改善质量,值得在男科临床护理中推广与应用。
Objective: To study the application of rapid rehabilitation surgery (FTS) in perioperative nursing of male patients. Methods: 200 male patients were selected as the control group, using traditional nursing methods. Another 200 cases of male surgery as the observation group, the FTS concept of perioperative nursing, perioperative application of various proven effective methods to reduce the surgical stress in patients with rapid rehabilitation. The postoperative intestinal peristalsis time, first exhaust time, feeding time, ambulation time, first defecation time and complications of intestinal preparation, comfort and patient satisfaction were compared between the two groups. Results: Compared with the control group, the duration of postoperative bowel movement was (4.4 ± 1.4) h and (5.8 ± 0.9) h, and the time of the first deflation was (7.7 ± 2.0) h and (10.8 ± 1.8) h, respectively Time of first defecation (39.6 ± 2.5) h and (49.2 ± 2.6) h, time of (6.3 ± 0.7) h and (12.9 ± 0.7) h and time of bed ambulation (8.2 ± 1.4) and (14.3 ± 2.7) The above 5 indexes were shorter in the observation group than in the control group (P <0.01). The incidence of complications of intestinal preparation in the observation group was lower than that in the control group (P <0.05). The comfort of the observation group was significantly lower than that of the control group (99.4 ± 0.3)% and (97.5 ± 0.7)% respectively in the control group (P <0.01). The observation group was higher than the control group, the difference was statistically significant (P <0.05). Conclusion: The rapid rehabilitation in male perioperative nursing is effective and safe, can promote rehabilitation, improve quality, it is worth in the male clinical nursing in the promotion and application.