快速康复外科理念在心脏外科术后护理中的应用及其对护士职业认同感的影响(1)
【摘要】 目的：探討快速康复外科(FTS)理念在心脏外科术后护理中的应用及其对护士职业认同感的影响。方法：回顾性分析2016年7-12月心脏外科手术患者529例的病历资料并设为A组，前瞻性选取2017年7-12月心脏外科手术患者646例为观察对象并设为B组。A组给予常规护理，B组在A组基础上将FTS理念应用于患者的围手术期护理。比较两组麻醉苏醒时间、拔管时间、固体食物耐受时间、下床活动时间、术后住院时间等康复效率指标，护理质量及护理满意度评分等护理质量指标，对均参与A、B组患者护理的护士进行职业认同感问卷调查。结果：B组麻醉苏醒时间、拔管时间、固体食物耐受时间、下床活动时间及术后住院时间均短于A组，差异均有统计学意义(P<0.05);B组护理质量、护理满意度评分均高于A组(P<0.05);共30名护士均参与了A、B组患者的临床护理，护士在B组护理工作中的职业认同、职业目标、职业态度、职业价值观、职业自我概念评分以及总分均高于A组，差异均有统计学意义(P<0.05)。结论：FTS理念在心脏外科术后护理中的应用优化了围手术期的措施，取得了较好的实施效果，不仅提高了患者术后康复的效率，也提升了护理工作质量，取得了患者的广泛认可，对于心脏外科乃至其他学科的围手术期护理工作具有一定的指导和借鉴意义。
【关键词】 快速康复外科; 心脏外科; 围手术期护理; 职业认同感
【Abstract】 Objective：To explore the application of fast track surgery(FTS)concept in postoperative care in cardiac surgery and its influence on nurses’ professional identity.Method：A retrospective analysis of 529 patients undergoing cardiac surgery from July to December 2016 was made and divided into A group，and a prospective study of 646 patients undergoing cardiac surgery from July to December 2017 was conducted and assigned to B group.A group received routine nursing，B group applied FTS concept to perioperative nursing of patients on the basis of A group.The rehabilitation efficiency indexes such as recovery time of anesthesia，extubation time，solid food tolerance time，getting out of bed time and hospitalization time after operation between two groups were compared，the nursing quality indexes such as nursing quality and nursing satisfaction score between two groups were compared，and the nurses who participated in nursing of A group and B group were investigated by questionnaire on their professional identity.Result：The recovery time of anesthesia，extubation time，solid food tolerance time，getting out of bed time and hospitalization time in B group were shorter than those of A group，the differences were statistically significant(P<0.05).The scores of nursing quality and satisfaction in B group were higher than those of A group(P<0.05).A total of 30 nurses participated in the clinical nursing of A group and B group，nurses’ professional identity，professional goals，professional attitudes，professional values，professional self-concept scores and total scores in B group were higher than those of A group，the differences were statistically significant(P<0.05).Conclusion：The application of FTS concept in postoperative care of cardiac surgery optimizes the perioperative measures and achieves better implementation results，it not only improves the efficiency of postoperative rehabilitation，but also improves the quality of nursing work and obtains the patients’ widely reorganizations，so it has certain guidance and reference significance for perioperative nursing in cardiac surgery and other departments., http://www.100md.com(商显梅)
【关键词】 快速康复外科; 心脏外科; 围手术期护理; 职业认同感
【Abstract】 Objective：To explore the application of fast track surgery(FTS)concept in postoperative care in cardiac surgery and its influence on nurses’ professional identity.Method：A retrospective analysis of 529 patients undergoing cardiac surgery from July to December 2016 was made and divided into A group，and a prospective study of 646 patients undergoing cardiac surgery from July to December 2017 was conducted and assigned to B group.A group received routine nursing，B group applied FTS concept to perioperative nursing of patients on the basis of A group.The rehabilitation efficiency indexes such as recovery time of anesthesia，extubation time，solid food tolerance time，getting out of bed time and hospitalization time after operation between two groups were compared，the nursing quality indexes such as nursing quality and nursing satisfaction score between two groups were compared，and the nurses who participated in nursing of A group and B group were investigated by questionnaire on their professional identity.Result：The recovery time of anesthesia，extubation time，solid food tolerance time，getting out of bed time and hospitalization time in B group were shorter than those of A group，the differences were statistically significant(P<0.05).The scores of nursing quality and satisfaction in B group were higher than those of A group(P<0.05).A total of 30 nurses participated in the clinical nursing of A group and B group，nurses’ professional identity，professional goals，professional attitudes，professional values，professional self-concept scores and total scores in B group were higher than those of A group，the differences were statistically significant(P<0.05).Conclusion：The application of FTS concept in postoperative care of cardiac surgery optimizes the perioperative measures and achieves better implementation results，it not only improves the efficiency of postoperative rehabilitation，but also improves the quality of nursing work and obtains the patients’ widely reorganizations，so it has certain guidance and reference significance for perioperative nursing in cardiac surgery and other departments., http://www.100md.com(商显梅)