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Application effect of rapid rehabilitation surgical nursing in ureteral soft mirror surgery |
LIU Quan-di CHEN Cai-feng LI Jian-ping MO Yan-yan▲ |
Department of Urology, Affiliated Hospital of Guangdong Medical University, Guangdong Province, Zhanjiang 510000,China |
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Abstract Objective To explore the application effect of rapid rehabilitation surgery (FTS) nursing in soft ureter surgery. Methods A total of 118 patients for soft ureter surgery admitted to our hospital from March 2017 to August 2018 were selected and divided into experimental group (n=58) and control group (n=58) by random drawing. The experimental group was treated with FTS nursing, while the control group was treated with traditional surgical nursing.The complications, the days of indwelling catheter, the cost of hospitalization, visual analogue scale (VAS), the psychological state of (including self-rating anxiety scale [SAS] score and self-rating depression scale [SDS] score) and satisfaction were compared between the two groups. Results The indwelling time of catheter in the experimental group was(27.64 ±8.16) h, and the postoperative hospital stay was (2.32±0.47) d, which were shorter than those in the control group ([78.48±13.92] h, (4.21±0.91) d, and the differences were statistically significant (P<0.05). The VAS score of the experimental group was (2.54±1.22) points, which was lower than that of the control group (4.48±1.69) points, and the difference was statistically significant (P<0.05). The hospital satisfaction of the experimental group was (98.95±4.27)%,which was higher than the control group (93.03±8.21)%, and the difference was statistically significant (P<0.05). There was no significant difference in SAS and SDS score between the two groups before nursing (P>0.05). The SAS and SDS score of the two groups after nursing were lower than those before nursing, and there was significant difference between the two groups (P<0.05). The scores of SAS and SDS in the experimental group were (37.05±1.05) and (37.25±1.05)points, respectively, which were significantly lower than those in the control group of (47.85±1.15) points and (48.65±1.15) points, the differences were statistically significant(P<0.05). The incidence of complications in the experimental group was 8.62%, which was lower than that in the control group (22.41%), the difference was statistically significant (P<0.05). The total satisfaction of clinical nursing in the experimental group was 96.55%, which was higher than that in the control group (77.59%), the difference was statistically significant (P<0.05). Conclusion FTS nursing model can reduce the complications, promote the rapid recovery of the patients, reduce the pain, improve the satisfaction of the patients and benefit the patients. It is a nursing technique worth popularizing in order to reduce the complications, promote the rapid recovery of the patients, reduce the pain of the patients, improve the satisfaction of the patients, and benefit the patients.
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[1] |
江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133.
|
[2] |
那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病病诊断治疗指南(2014 版)[M].北京:人民卫生出版社,2013:141-142.
|
[3] |
桂志明,苏劲,柳健军,等.输尿管软镜钬激光碎石术与经皮肾镜取石术治疗输尿管上段大结石的疗效比较[J].临床泌尿外科杂志,2017,32(1):61-64.
|
[4] |
黄文起,黄宇光.多学科合力促进加速康复外科的发展[J].广东医学,2016,37(18):2689-2691.
|
[5] |
刘娟,许敬萍,周萍,等.快速康复外科理念在泌尿外科常见腹腔镜手术围手术期护理中的应用[J].广东医学,2018,39(6):952-956.
|
[6] |
屈晓玲,方汉萍,陈小芹,等.机器人辅助腹腔镜前列腺癌根治性切除术患者快速康复护理[J].护理学杂志,2015,30(20):47-48,56.
|
[7] |
黄和平,武雪梅,郭爱菊, 等.快速康复外科理念对腹腔镜肾癌根治术后患者康复的影响[J].实用临床护理学电子杂志,2017,2(32):105-106.
|
[8] |
梅嫦颖,林莹,郑萍萍等.快速康复外科理念在输尿管软镜碎石术围手术期中的应用效果[J].现代实用医学,2017,29(12):1676-1677.
|
[9] |
崔代芹,宋真,阚志芸, 等.快速康复外科护理对泌尿外科常规腔镜手术患者焦虑的影响[J].齐鲁护理杂志,2015,(24):7-9.
|
[10] |
陆彩连,陈翔,陈松宁, 等.快速康复外科理念在输尿管软镜碎石术围手术期护理中的应用[J].中国实用医药,2016,11(19):257-258.
|
[11] |
周燕,蒋爱军.快速康复护理在输尿管软镜术中护理中的应用效果[J].国际护理学杂志,2019,38(13):2071-2074.
|
[12] |
王志云.快速康复外科理念用于输尿管软镜碎石术围手术期护理中对患者护理满意度的影响[J].实用临床护理学电子杂志,2019,4(6):117.
|
[13] |
张蒙,阎淑芹.经皮肾镜联合输尿管软镜钬激光治疗肾铸型结石48 例围术期护理[J].齐鲁护理杂志,2016,22(22):62-63.
|
[14] |
奉琴,杨洋.医护合作-快速康复模式在经输尿管镜钬激光碎石术中的应用及效果评价[J].华西医学,2017,(12):1914-1916.
|
[15] |
苏意心,周东红,蒲荷仙等.快速康复护理对输尿管软镜碎石术后患者康复质量 及负面情绪影响[J].中国伤残医学,2018,26(15):79-80.
|
[16] |
蒋爱军,周燕.快速康复理念在输尿管软镜治疗上尿路结石围手术期护理中的应用[J].当代护士(下旬刊),2018,(1):85-87.
|
[17] |
倪亚萍,殷莉,李静等.快速康复外科理念应用于输尿管软镜碎石术围手术期护理价值评价[J].实用临床护理学电子杂志,2017,2(19):96,98.
|
|
|
|