加速康复外科护理在减重代谢手术患者中的效果观察

目的分析在减重代谢手术患者中应用加速康复外科护理理念的临床效果。 方法选择从2015年1月至2018年1月在中山市小榄人民医院减重代谢外科接受手术的91例患者，随机分组研究，42例纳入对照组，采取常规护理，49例纳入观察组，基于快速康复外科护理理念护理，对照分析两组临床效果。 结果从术后观察指标来看，观察组术后肛门排气时间比对照组早，术后下床活动时间比对照组早，进食时间比对照组早，住院时间比对照组短，住院费用比对照组少，P<0.05；从护理满意度来看，观察组高于对照组，P<0.05；从术后并发症发生率来看，观察组低于对照组，P<0.05。 结论加速康复外科护理的应用可以促进减重代谢手术患者术后恢复，减少并发症发生，增加患者对临床护理服务的满意度。

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

ObjectiveTo analyze the clinical effect of application of accelerated rehabilitation surgery nursing concept in patients with weight loss and metabolism surgery. Methods91 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. ResultsFrom 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. ConclusionsThe 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.