Application of traditional Chinese medicine diet guidance combined with rapid rehabilitation in orthopedic patients during perioperative period
中医饮食指导联合快速康复在骨科患者围手术期的应用研究

摘要

目的 分析对骨科患者在其手术前后应用实施快速康复护理+中医特色饮食指导的可行性。方法 本次研究的病例数为100例，他们均来自于2022年12月-2023年12月期间我院收治护理的骨科患者，根据奇偶数随机原则将其平均分为对照组和观察组，分别应用常规饮食管理和快速康复模式下的中医特色饮食指导，并对两组患者的临床指标、生活质量评分、术后并发症、病情康复指标、肢体功能、日常生活能力及患者满意程度进行评价分析。结果 经干预后观察组患者术后并发症发生率低于对照组，疲倦程度、恶心呕吐及疼痛程度在内的临床指标情况均更低，包括躯体、角色、情绪、认知及社会在内的生活质量评分和患者满意程度更高。组间数值P＜0.05，说明存在对比意义。结论 对骨科患者在其手术前后应用实施快速康复模式下的中医饮食指导其护理效果显著，能够有效缩短患者的功能改善时间和康复时间，减少并发症的发生，提升其舒适度和免疫功能，提高患者的临床满意程度，值得在临床上进行推广。

Abstract

Objective To analyze the feasibility of rapid rehabilitation nursing and traditional Chinese medicine characteristic diet guidance for orthopedic patients before and after surgery.
Methods The total number of cases in this study was 100, all of whom were orthopedic patients treated and cared for in our hospital from December 2022 to December 2023. They were evenly divided into control group and observation group according to the principle of odd and even randomization, and the traditional Chinese medicine characteristic diet guidance under the mode of conventional diet management and rapid rehabilitation was applied respectively. Clinical indexes, quality of life score, postoperative complications, rehabilitation indexes, limb function, daily living ability and patient satisfaction were evaluated and analyzed in the two groups.
Results After intervention, the incidence of postoperative complications in the observation group was lower than that in the control group, the clinical indicators including fatigue, nausea, vomiting and pain were lower, and the quality of life scores including physical, role, emotional, cognitive and social scores and patient satisfaction were higher. The inter-group value P < 0.05 indicated that there was comparative significance.
Conclusion   The application of TCM diet guidance in the mode of rapid rehabilitation before and after surgery for orthopedic patients has significant nursing effects, which can effectively shorten the time of functional improvement and rehabilitation of patients, reduce the occurrence of complications, improve their comfort and immune function, and improve the clinical satisfaction of patients, and is worthy of clinical promotion.