Effect of enhanced recovery after surgery combined with psychological nursing intervention for patients undergoing urological surgery

doi:10.3760/cma.j.issn.1007-1245.2023.10.026

Abstract

Abstract:

Objective　To study the effect of enhanced recovery after surgery (ERAS) combined with psychological nursing intervention for patients undergoing urological surgery. Methods　Four hundred patients who underwent urological surgery in First Hospital, Henan University of Science and Technology from May 2019 to April 2022 were selected for the random ized control led trial. They were divided into a control group and an observation group by the random envelop method, with 200 cases in each group. There were 129 males and 71 females in the control group; they were 28-59 (44.26±5.34) years old. There were 125 males and 75 females in the observation group; they were 25-59 (43.89±5.06) years old. The control group received routine nursing; in addition, the observation group received ERAS and psychological nursing. The pain degrees [Visual Analogue Scale (VAS)], self-efficacies [General Self-Efficacy Scale (GSES)], postoperative recovery indicators, incidences of complications, and quality of life [Generic Quality of Life Inventory 74 (GQOL-74)] were compared between the two groups. t and χ² tests were applied. Results　The scores of VAS 1, 3, and 5 days after the operation of the observation group were lower than those of the control group [(4.84±0.58) vs. (5.46±0.64), (3.95±0.49) vs. (4.73±0.53), and (1.64±0.35) vs. (2.26±0.38)], with statistical differences (t=10.15, 15.28, and 16.97; all P<0.05). The first exhaustion time, recovery time of bowel sounds, first eating time, and hospitalization time in the observation group were shorter than those in the control group [(16.35±3.24) h vs. (22.54±4.36) h, (15.02±2.37) h vs. (20.76±3.15) h, (6.68±1.28) h vs. (12.46±2.49) h, and (6.38±0.59) d vs. (7.54±0.84) d], with statistical differences (t=16.12, 20.59, 29.20, and 15.98; all P<0.05). Five days after the operation, the scores of GSES and GQOL-74 in the observation group were higher than those in the control group [(34.16±2.58) vs. (29.16±2.74) and (89.65±4.36) vs. (82.44±4.52)], with statistical differences (t=18.79 and 16.24; both P<0.05). The incidence of complications in the observation group was lower than that in the control group [4.00% (8/200) vs. 9.00% (18/200)], with a statistical difference (χ²=4.11, P<0.05). Conclusion　ERAS combined with psychological nursing for patients undergoing urological surgery can improve their self-efficacy, prevent postoperative complications, reduce postoperative pain, promote postoperative rehabilitation, and improve their quality of life.

Key words:

Enhanced recovery after surgery, Psychological nursing, Urological Surgery, Self-efficacy, Quality of life

摘要：

目的　研究快速康复理念（ERAS）联合心理护理干预在泌尿外科手术患者中的应用效果。方法　选取2019年5月至2022年4月于河南科技大学第一附属医院行泌尿外科手术的患者400例进行随机对照试验，采用随机信封法分为对照组、观察组，各200例。对照组男129例、女71例，年龄28～59（44.26±5.34）岁，采用常规护理；观察组男125例、女75例，年龄25～59（43.89±5.06）岁，在对照组基础上实施ERAS联合心理护理。比较两组疼痛程度［视觉模拟评分法（VAS）］、自我效能［自我效能感量表（GSES）］、术后恢复指标、并发症发生率及生活质量［生活质量综合评定问卷-74（GQOL-74）］。统计学方法采用t检验、χ²检验。结果　观察组术后1 d、3 d、5 d的VAS评分均低于对照组［（4.84±0.58）分比（5.46±0.64）分、（3.95±0.49）分比（4.73±0.53）分、（1.64±0.35）分比（2.26±0.38）分］，差异均有统计学意义（t=10.15、15.28、16.97，均P<0.05）；观察组首次排气时间、肠鸣音恢复时间、首次进食时间及住院时间均短于对照组［（16.35±3.24）h比（22.54±4.36）h、（15.02±2.37）h比（20.76±3.15）h、（6.68±1.28）h比（12.46±2.49）h、（6.38±0.59）d比（7.54±0.84）d］，差异均有统计学意义（t=16.12、20.59、29.20、15.98，均P<0.05）；术后5 d，观察组GSES、GQOL-74评分均高于对照组［（34.16±2.58）分比（29.16±2.74）分、（89.65±4.36）分比（82.44±4.52）分］，差异均有统计学意义（t=18.79、16.24，均P<0.05）；观察组并发症发生率为4.00%（8/200），低于对照组［9.00%（18/200）］，差异有统计学意义（χ²=4.11，P<0.05）。结论　ERAS理念联合心理护理可提高泌尿外科手术患者自我效能，预防术后并发症，降低术后疼痛感，促进患者术后康复，提升患者生活质量。

关键词:

快速康复理念, 心理护理, 泌尿外科, 自我效能, 生活质量

Zhang Huan, Li Yali, Huang Yuqi.

Effect of enhanced recovery after surgery combined with psychological nursing intervention for patients undergoing urological surgery [J]. International Medicine and Health Guidance News, 2023, 29(10): 1449-1453.

张欢李亚丽黄玉琪.

泌尿外科手术患者应用快速康复理念联合心理护理的干预效果 [J]. 国际医药卫生导报, 2023, 29(10): 1449-1453.

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