摘要
目的 探究骨科全麻术后患者麻醉复苏期护理中应用快速康复外科理念的效果。方法 选择2021年1月~2023年1月间，本院骨科内的全麻手术患者100例作为研究对象。设计对照研究，抽签法随机分为2组，50例/组。术后麻醉复苏期中，对照组行常规护理，观察组则以快速康复外科理念进行护理。比较两组并发症发生率、恢复效果、疼痛感以及护理满意度。结果 并发症中，观察组发生率较对照组低（P<0.05）。恢复效果中，观察组胃肠恢复、离床活动时间较对照组短，术后1 h体温较对照组高（P<0.05）。疼痛感中，观察组护理后6 h、护理后12 h的VAS得分均较对照组低（P<0.05）。观察组护理满意度较对照组高（P<0.05）。结论 骨科全麻术后麻醉复苏期护理中，快速康复外科理念应用效果良好，可促进患者恢复，减少并发症，还可减轻患者术后疼痛感，提高护理满意度，值得推广。
关键词： 骨科全麻术后麻醉复苏期；快速康复外科理念；并发症发生率；恢复效果；疼痛；护理满意度
Abstract
Objective To explore the effect of applying the concept of rapid rehabilitation surgery in the nursing of patients recovering from anesthesia after general anesthesia in orthopedics. Methods From January 2021 to January 2023, 100 patients with general anesthesia in our department of Orthopedics were selected as the study objects. Design a control study, randomly divided into 2 groups, 50 cases/group. During the recovery period after anesthesia, the control group received routine nursing, and the observation group received nursing with the concept of rapid rehabilitation surgery. The complication rate, recovery effect, pain sensation and nursing satisfaction were compared between the two groups. Results The incidence of complications in observation group was lower than that in control group (P<0.05). In the recovery effect, the gastrointestinal recovery and the time of moving out of bed in the observation group were shorter than those in the control group, and the body temperature 1 h after operation was higher than that in the control group (P<0.05). In the sense of pain, VAS scores of the observation group were lower than those of the control group at 6 h and 12 h after nursing (P<0.05). The nursing satisfaction of observation group was higher than that of control group (P<0.05). Conclusion The application of the concept of rapid rehabilitation surgery has good effect in the anesthesia recovery period nursing after orthopedic general anesthesia, which can promote the recovery of patients, reduce complications, reduce postoperative pain of patients, and improve nursing satisfaction.
Key words： Anesthesia resuscitation period after orthopedic general anesthesia; The concept of rapid rehabilitation surgery; Complication rate; Recovery effect; Pain; Nursing satisfaction
参考文献 References
[1] 贾霞. 快速康复外科理念在创伤骨科围手术期护理中的应用[J]. 内蒙古医学杂志,2022,54(11):1395-1396,1399.
[2] 王镜芳,程旭东,陆雅萍,等. 快速康复外科理念在骨科全麻术后老年患者麻醉复苏期护理中的应用[J]. 中国乡村医药,2020,27(2):60-61.
[3] 李媛媛. 快速康复外科理念在骨科全麻术后患者麻醉复苏期护理工作中的开展价值[J]. 临床医药实践,2020,29 (4): 304-306.
[4] 幸婉蓉.基于快速康复外科理念的骨科全麻术后患者麻醉复苏期护理[J].华夏医学,2020,33(1):172-174.
[5] 夏真洁,郑雪芳,黄艳容,等. 快速康复外科理念在骨科全麻术后患者麻醉复苏期护理的应用效果观察[J]. 首都食品与医药,2020,27(8):128-129.
[6] 孙晓蓓,芮琳. 探讨快速康复外科理念在骨科全麻术后患者麻醉复苏期护理的应用效果[J]. 实用临床护理学电子杂志,2019,4(37):111,137.
[7] 李亚飞. 快速患者麻醉复苏期护理价值康复外科理念应用于骨科全麻术后研究[J]. 黑龙江中医药,2020,49(3): 279-280.
[8] 矫星星. 快速康复外科理念在骨科全麻术后患者麻醉复苏期护理效果分析 [J]. 中国伤残医学,2022,30(15):97-99.
[9] 吴欢欢,徐靓. 基于快速康复外科理念的骨科全麻术后患者麻醉复苏期护理体会[J]. 中国药物与临床,2019,19(8): 1384 -1386.
[10] 谢晓玲,黄朝阳,谢丹妮.基于快速康复外科理念的骨科全麻术后患者麻醉复苏期护理体会[J].按摩与康复医学,2019, 10(23):93-94.