快速康复理念对胃息肉内镜下黏膜切除术 患者围手术期的应用研究
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(1. 郑州大学第一附属医院,河南 郑州 450000;2. 河南中汇医院,河南 郑州 450000)

作者简介:

冯园园,女,主管护师,主要研究方向是胃肠外科护理。

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中图分类号:

R 573

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国家自然科学基金资助项目(81900533)


Application of Fast Recovery Concept on Endoscopic Mucosal Resection of Gastric Polyps Patients with Perioperative Period
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(1. The First Affiliated Hospital of Zhengzhou University, Henan Zhengzhou 450000; 2. Henan Zhonghui Hospital, Henan Zhengzhou 450000)

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    摘要:

    〔摘 要〕 目的:探讨基于快速康复理念的护理模式对胃息肉内镜下黏膜切除术患者围手术期的应用效果。方法: 选取 2019 年 1 月至 2019 年 11 月在郑州大学第一附属医院行胃息肉内镜下黏膜切除术的 100 例患者,按随机数字表 法分为对照组和观察组,各 50 例。对照组患者给予常规护理,观察组患者实施基于快速康复理念的护理模式,比较 两组患者术后康复情况、心理状态及护理满意度的差异。结果:观察组患者首次排气时间、首次排便时间、肠鸣音恢 复时间、住院时间均短于对照组,差异具有统计学意义(P < 0.05);观察组患者干预后焦虑自评量表(SAS)、抑 郁自评量表(SDS)评分低于对照组,差异具有统计学意义(P < 0.05);观察组患者护理满意度为 96.00 %,高于 对照组的 78.00 %,差异具有统计学意义(P < 0.05)。结论:基于快速康复理念的护理模式能有效促进胃息肉内镜 下黏膜切除术患者术后康复,缩短住院时间,减轻焦虑、抑郁负性情绪,提高护理满意度。

    Abstract:

    〔Abstract〕 Objective To explore the application effect of the nursing model based on the fast recovery concept in patients with endoscopic mucosal resection of gastric polyps. Methods A total of 100 patients who underwent endoscopic mucosal resection of gastric polyps in the First Affiliated Hospital of Zhengzhou University from January 2019 to November 2019 were selected and divided into a control group and an observation group according to random number table method, with 50 patients in each group. The control group was given routine nursing, and the observation group was given nursing mode based on the fast recovery concept. The differences of postoperative rehabilitation, psychological status and nursing satisfaction between the two groups were compared. Results The time of first exhaust, time of first defecation, recovery time of bowel noise and length of hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P < 0.05). After intervention, the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). The nursing satisfaction of the observation group was 96.00%, higher than 78.00% of the control group, the difference was statistically significant (P < 0.05). Conclusion The nursing mode based on the concept of rapid recovery can effectively promote postoperative rehabilitation of patients with endoscopic mucosal resection of gastric polyps, shorten the length of hospital stay, reduce anxiety and depression negative emtions, and improve nursing satisfaction.

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  • 收稿日期:2022-05-05
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  • 在线发布日期: 2022-11-15
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