快速康复外科护理对腹腔镜胆囊切除术患者负性情绪及术后康复效果的影响

摘要

Objective:To investigate the effects of fast-track rehabilitation surgical care on the negative emotions and promote postoperative rehabilitation after laparoscopic cholecystectomy ( LC) . Method:A total of 80 eligible patients were selected and randomly divided into observation group and control group, with 40 patients in each group. The control group used traditional care, while the observation group used fast-track rehabilitation surgical care, and the surgery conditions, self-rating anxiety scale ( SAS) scores, and self-rating depression scale ( SDS) scores were compared between the two groups. Result: The two groups had similar operative times, and the difference was statistically insignificant ( P>0. 05 ); but the observation group had better intraoperative blood loss, postoperative time to out-of-bed activity, postoperative time to passage of gas by anus, and postoperative length of stay and so on than the control group, and the differences were statistically significant ( all P<0.05) . On admission, the two groups had similar SAS and SDS scores, and the differences were statistically insignificant ( P>0.05);on discharge, both groups had decreased SAS and SDS scores, but the observation group had significantly greater decreasing extent than the control group, and the differences were statistically significant ( P<0.05) . The observation group had significantly lower in-cidence of postoperative complications than the control group ( P<0.05) . Conclusion:Fast-track rehabilita-tion surgical care can effectively improve the negative emotions and the internal environment state of the body, decrease the incidence of complications, consequently lighten the mental and physiological discom-forts, and promote the postoperative rehabilitation after laparoscopic cholecystectomy.%目的:探讨快速康复外科护理对腹腔镜胆囊切除术患者负性情绪的影响,促进术后康复. 方法:选择符合标准的患者80例,随机分为观察组和对照组各40例,对照组实施传统护理,观察组实施快速康复外科护理,比较二者手术情况及焦虑自评量表测试( SAS)、抑郁自评量表( SDS)评分.结果:观察组手术时间与对照组相似,差异无统计学意义( P>0.05) ,但是观察组术中出血量、术后下床活动时间、术后肛门排气时间及术后住院时间等指标均优于对照组,差异有统计学意义( P<0.05). 入院时,两组SAS和SDS评分相似,差异无统计学意义( P>0.05);出院时两组SAS和SDS评分较入院时均下降,但是观察组下降幅度大于对照组,差异有统计学意义( P<0.05). 观察组术后并发症发生情况明显优于对照组,差异有统计学意义( P<0.05). 结论:快速康复外科护理可以有效改善腹腔镜胆囊切除术患者负性情绪,改良机体内环境状态,降低并发症的发生率,从而减轻心理和生理不适,促进术后康复.