Observation on the application effect of nursing intervention based on fast track surgery concept in patients with acute cholecystitis undergoing laparoscopic surgery
基于快速康复外科理念的护理干预在急性胆囊炎腹腔镜手术患者中的应用效果观察

摘要

目的 探讨基于快速康复外科（Fast Track Surgery, FTS）理念的护理干预在急性胆囊炎腹腔镜手术患者中的应用效果，为临床护理方案优化提供依据。方法 选取2024年3月至2025年6月我院收治的200例急性胆囊炎行腹腔镜手术患者，按随机数字表法分为对照组和观察组，各100例。对照组实施围手术期常规护理，观察组采用FTS理念指导下的针对性护理干预。比较两组患者术后康复指标、疼痛评分、生活质量评分。结果 观察组术后肛门排气时间、首次下床活动时间、住院时间均显著短于对照组，住院费用低于对照组，差异有统计学意义（P<0.05）；观察组术后6h、24h、48h视觉模拟评分法（VAS）评分均显著低于对照组，差异有统计学意义（P<0.05）；干预前两组生活质量量表（SF-36）各维度评分比较无统计学差异（P>0.05），出院时观察组SF-36各维度评分均显著高于对照组，差异有统计学意义（P<0.05）。结论 基于快速康复外科理念的护理干预可有效促进急性胆囊炎腹腔镜手术患者术后康复，减轻疼痛程度，提升生活质量，具有较高的临床应用价值。

Abstract

Objective To explore the application effect of nursing intervention based on the Fast Track Surgery (FTS) concept in patients with acute cholecystitis undergoing laparoscopic surgery, and to provide a basis for the optimization of clinical nursing plans.
Methods 200 patients with acute cholecystitis who underwent laparoscopic surgery in our hospital from March 2024 to June 2025 were selected and divided into the control group and the observation group according to the random number table method, with 100 cases in each group. The control group received routine perioperative care, while the observation group received targeted nursing intervention guided by the FTS concept. The postoperative rehabilitation indicators, pain scores, and quality of life scores of the two groups were compared.
Results The postoperative anal exhaust time, first time getting out of bed, and hospital stay time of the observation group were significantly shorter than those of the control group, and the hospitalization cost was lower than that of the control group, with statistically significant differences (P<0.05); the visual analog scale (VAS) scores at 6 h, 24 h, and 48 h after surgery in the observation group were significantly lower than those in the control group, with statistically significant differences (P<0.05); before the intervention, there was no statistically significant difference in the scores of each dimension of the quality of life scale (SF-36) between the two groups (P>0.05), and at discharge, the scores of each dimension of the SF-36 in the observation group were significantly higher than those in the control group, with statistically significant differences (P<0.05).
Conclusion   Nursing intervention based on the Fast Track Surgery concept can effectively promote the postoperative rehabilitation of patients with acute cholecystitis undergoing laparoscopic surgery, reduce pain, and improve quality of life, and has high clinical application value.