Perioperative nursing intervention based on feedforward control for patients with general surgery
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摘要: 目的 探讨基于前馈控制的围术期护理干预对普外科手术患者术后恢复的影响。 方法 回顾性分析260例普外科手术患者的临床资料,根据护理方法将患者分为对照组和观察组,每组130例。对照组采用常规围术期护理,观察组采用基于前馈控制的围术期护理。比较2组患者的术后恢复情况(肛门排气时间、排便时间、肠鸣音恢复时间和住院时间)、护理质量评分(环境管理、护理文书、安全管理、行为规范、护理操作、健康教育和心理护理)和并发症发生情况。 结果 观察组肛门排气时间、排便时间、肠鸣音恢复时间和住院时间均短于对照组,差异有统计学意义(P<0.05); 观察组安全管理、行为规范、护理操作、健康教育和心理护理评分均低于对照组(P<0.05); 观察组并发症发生率为13.85%, 低于对照组的28.46%(P<0.05); 观察组患者满意度为96.15%, 高于对照组的88.46%, 差异有统计学意义(P<0.05)。 结论 基于前馈控制的围术期护理干预能够促进普外科患者术后恢复,提升护理质量和患者满意度,减少并发症的发生。Abstract: Objective To study the effect of perioperative nursing intervention based on feedforward control on postoperative recovery in patients with general surgery. Methods The clinical data of 260 patients with general surgeries was reviewed. According to different nursing methods, patients were divided into control group and observation group. The control group(n=130)was given routine perioperative nursing, and the observation group(n=130)was given perioperative nursing based on feedforward control. The postoperative recovery conditions(anal exhaust time, defecation time, recovery time of bowel sounds and hospitalization time), nursing quality score(environmental management, nursing documents, safety management, behavioral norms, nursing operation, health education and psychological care)and complications were compared between the two groups. Results The anal exhaust time, defecation time, bowel sound recovery time and hospitalization time in the observation group were significantly shorter than that in the control group(P<0.05). The scores of safety management, behavior standard, nursing operation, health education and psychological nursing in the observation group were significantly lower than those in the control group(P<0.05). The complication rate of the observation group was 13.85%, which was lower than 28.46% of the control group(P<0.05). The satisfaction of patients in the observation group was 96.15%, which was higher than 88.46% in the control group(P<0.05). Conclusion Perioperative nursing intervention based on feedforward control can promote postoperative recovery of general surgery patients, improve nursing quality and patients' satisfaction, and reduce the incidence of complications.
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