Effect of preoperative optimized forward nursing intervention based on the concept of rapid recovery surgery on patients undergoing laparoscopic surgery for uterine fibroids
基于快速康复外科理念的术前优化前移护理干预对子宫肌瘤腹腔镜手术患者的影响

摘要

目的 分析基于快速康复外科理念的术前优化前移护理干预对子宫肌瘤腹腔镜手术患者的影响。方法 随机选取2024年2月至2025年2月期间我院接收的子宫肌瘤手术患者80例，分组采取随机数字表法，共分为观察组40例与对照组40例。两组患者均接受腹腔镜手术治疗，治疗期间对照组行常规护理，观察组则开展基于快速康复外科理念的术前优化前移护理干预，将两组护理效果进行总结分析。结果 两组指标对比后显示，观察组护理质量以及患者遵医行为与对照组相比明显提升，术后患者疼痛程度明显轻于对照组，术后发生的并发症少于对照组，患者在下床活动以及住院所用时间短于对照组，最终患者生活质量改善效果优于对照组，（P＜0.05）。结论 将基于快速康复外科理念的术前优化前移护理干预应用于子宫肌瘤腹腔镜手术患者中，可使临床护理质量和患者遵医行为得到进一步提升，减轻术后疼痛程度，减少并发症发生，促进患者身体恢复，改善患者生活质量。

Abstract

Objective To analyze the impact of preoperative optimized forward nursing intervention based on the concept of rapid rehabilitation surgery on patients undergoing laparoscopic myomectomy.
Methods A total of 80 patients who underwent myomectomy at our hospital from February 2024 to February 2025 were randomly selected and divided into an observation group of 40 cases and a control group of 40 cases using a random number table method. Both groups received laparoscopic surgery, with the control group receiving routine care during treatment, while the observation group underwent preoperative optimized forward nursing intervention based on the concept of rapid rehabilitation surgery. The nursing outcomes of both groups were summarized and analyzed.
Results After comparing the indicators of both groups, it was found that the quality of care and patient compliance in the observation group significantly improved compared to the control group. Postoperative pain levels in the observation group were notably lower than those in the control group, and fewer complications occurred postoperatively. Patients in the observation group also spent less time getting out of bed and shorter hospital stays compared to the control group. Ultimately, the improvement in patients 'quality of life was better than that in the control group (P<0.05).
Conclusion   Applying preoperative optimized forward nursing intervention based on the concept of rapid rehabilitation surgery to patients undergoing laparoscopic myomectomy can further enhance clinical nursing quality and patient compliance, reduce postoperative pain, decrease the incidence of complications, promote physical recovery, and improve patients' quality of life.