Observation on the effect of accelerated rehabilitation surgical nursing in patients with weight loss and metabolic surgery

doi:10.3877/cma.j.issn.2095-9605.2020.03.013

Abstract

Abstract:

Objective

To analyze the clinical effect of application of accelerated rehabilitation surgery nursing concept in patients with weight loss and metabolism surgery.

Methods

91 patients in the Department of weight loss and metabolism of Zhongshan Xiaolan people's hospital were selected and randomly divided into two groups from January 2015 to January 2018. 42 cases were included in the control group, and 49 cases were included in the observation group. The clinical effects of the two groups were compared and analyzed based on the nursing concept of fast track surgery.

Results

From the postoperative observation indicators, the observation group postoperative anal exhaust time was earlier than the control group, postoperative ambulation time was earlier than the control group, eating time was earlier than the control group, hospitalization time was shorter than the control group, hospitalization expenses were less than the control group, P<0.05; from the nursing satisfaction, the observation group was higher than the control group, P<0.05; from the postoperative complication rate, the observation group was lower than the control group, P<0.05.

Conclusions

The application of accelerated rehabilitation surgery nursing can promote the postoperative recovery of patients with weight loss metabolism surgery, reduce the incidence of complications, and increase the patients' satisfaction with clinical nursing services.

Key words: Accelerated rehabilitation surgery, Nursing, Weight loss Metabolic surgery, Effect

Xia Zhou, Xiangwen Zhao, Huiying Yang, Luansheng Liang, Minyi Ou. Observation on the effect of accelerated rehabilitation surgical nursing in patients with weight loss and metabolic surgery[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2020, 06(03): 203-207.

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References 16

[1]	朱江帆．减重与代谢手术方式演变及启示[J]．外科理论与实践，2018，23(06)：6-9．
[2]	陈唯韫，张秀华，马满姣，等．术后加速康复策略对全身麻醉下减重手术患者术后恢复的影响[J]．临床麻醉学杂志，2015，31(06)：576-578．
[3]	刘彦章，梁銮盛，杨慧英，等．减重代谢手术实施加速康复外科的单中心经验与存在问题分析[J/CD]．中华肥胖与代谢病电子杂志，2018，4(1)：30-34．
[4]	张天资，杨宁琍，梁辉，等．体重效能生活方式问卷在减重代谢术前患者中应用的信效度研究[J]．中华现代护理杂志，2018，24(20)：2418-2422．
[5]	王存川，赵鑫，杨华．减重代谢手术的术式和选择[J]．外科理论与实践，2020，25(3)：195-197．
[6]	谭丽玲，余济春，李显华．99mTcO-4唾液腺动态显像在分化型甲状腺癌术后131I治疗中的价值[J]．实用临床医学，2016，17(8)：33-35．
[7]	吴璐宁，孙晓东．快速康复外科在腹腔镜减重代谢手术的研究进展[J]．浙江临床医学，2019，21(2)：290-292．
[8]	刘金钢．减重手术术式选择及对机体代谢的调节[J]．肠外与肠内营养，2020，27(1)：1-4．
[9]	陈俊，王金平，何红艳．快速康复外科理念在手术室护理的应用效果分析[J]．中国伤残医学，2018，26(08)：79-81．
[10]	吴国豪．腹部手术患者代谢改变及加速康复策略[J]．中华胃肠外科杂志，2016，19(03)：253-255．
[11]	罗春凤，郭子涛，吴华丽．整合式健康教育对心胸外科手术患者自我管理效能及呼吸功能锻炼依从性的影响[J]．吉林医学，2020，41(7)：1764-1766．
[12]	王文越，杨珵璨，王兵．加速康复外科理念在腹腔镜减重代谢外科领域应用安全性的Meta分析[J]．中华胃肠外科杂志，2018，21(10)：1167-1174．
[13]	刘彦章，梁銮盛，杨慧英，等．减重代谢手术实施加速康复外科的单中心经验与存在问题分析[J/CD]．中华肥胖与代谢病电子杂志，2018，4(1)：30-34．
[14]	李晓梅．快速康复外科理念在胃癌患者围手术期护理中的应用效果[J]．临床医学研究与实践，2017，2(19)：183-184．
[15]	李震，陈凯，王成夭，等．加速康复外科在减重代谢外科中的应用[J]．中华普通外科杂志，2018，33(6)：522-523．
[16]	阎青，巩霞．快速康复外科理念在胃癌患者围手术期护理中的应用效果观察[J]．中国继续医学教育，2015(27)：219-220．

组别	术后肛门排气时间（d）	术后下床活动时间（d）	进食时间（d）	住院时间（d）	住院费用（元）
对照组（n=42）	4.2±0.7	2.3±0.8	3.6±0.8	8.6±2.3	55732.6±6153.5
观察组（n=49）	1.2±0.4	1.1±0.6	0.68±0.15	4.6±1.7	41864.3±5011.3
t值	16.602	7.474	25.06	9.52	11.85
P值	0.000	0.000	0.000	0.000	0.000

组别	术后肛门排气时间（d）	术后下床活动时间（d）	进食时间（d）	住院时间（d）	住院费用（元）
对照组（n=42）	4.2±0.7	2.3±0.8	3.6±0.8	8.6±2.3	55732.6±6153.5
观察组（n=49）	1.2±0.4	1.1±0.6	0.68±0.15	4.6±1.7	41864.3±5011.3
t值	16.602	7.474	25.06	9.52	11.85
P值	0.000	0.000	0.000	0.000	0.000

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