Analysis of the effect of the concept of accelerated rehabilitation surgery in the nursing of cardiac surgery
加速康复外科理念在心脏外科手术护理中的效果分析

摘要

目的 探究在心脏外科手术护理中采用加速康复外科理念的临床效果。方法 研究开展时间为2019年10月，结束时间为2020年10月，研究过程中选择在我院心脏外科接受手术治疗的患者共计90例患者作为主要分析对象，为了深入了解加速康复外科理念的应用效果，本次使用对比的研究方法，将所有患者根据1：1的比例分为两组，分别命名为对组织（n=45例，心脏外科常规护理）、观察组（n=45例，采用加速康复外科理念进行护理），使用不同护理模式后观察和分析患者的临床情况，并记录护理期间产生的各种结果，主要包括：两组患者的临床指标、康复效果等数据。两组将相关数据统计后，进行比较。结果 两组患者心率、收缩压、体温等临床指标相比，观察组的优势较为明显，与对照组相比有明显差异和统计学意义（P＜0.05）。观察组拔管时间、下床活动时间、住院时间分别为（7.48±1.37）h、（2.27±0.48）h、（10.15±1.76）d相对于对照组（12.59±2.27）h、（3.88±0.87）h、（15.76±2.06）d较短，差异显著有统计学意义，用（P＜0.05）表示。结论 在心脏外科手术护理中采用加速康复外科理念，对患者临床症状的改善有着积极作用，同时还能够提高患者的康复效果，可在今后的护理工作中大力推广和应用。

Abstract

Objective: To explore the clinical effect of using the concept of accelerated rehabilitation surgery in cardiac surgery nursing.
Methods: The study was carried out in October 2019 and the end time was October 2020. During the study, a total of 90 patients who received surgical treatment in our hospital’s cardiac surgery were selected as the main analysis objects, in order to gain insight into the concept of accelerated rehabilitation surgery. Application effect, this time using the comparative research method, all patients were divided into two groups according to the ratio of 1:1, named as the pair of tissues (n=45 cases, routine care of cardiac surgery), observation group (n=45 cases, Adopt the concept of accelerated rehabilitation surgery for nursing), observe and analyze the clinical conditions of patients after using different nursing modes, and record various results during nursing, mainly including: clinical indicators, rehabilitation effects and other data of the two groups of patients. The two groups will compare relevant data after statistics.
Results: Compared with the clinical indicators such as heart rate, systolic blood pressure and body temperature of the two groups, the observation group had obvious advantages, and there were significant differences and statistical significance compared with the control group (P<0.05). Extubation time, time to get out of bed, and hospital stay in the observation group were (7.48±1.37)h, (2.27±0.48)h, (10.15±1.76)d, respectively, compared with the control group (12.59±2.27)h, (3.88±0.87) )H, (15.76±2.06)d are shorter, the difference is significant and statistically significant, which is represented by (P<0.05).
Conclusion  : Adopting the concept of accelerated rehabilitation surgery in the nursing of cardiac surgery has a positive effect on the improvement of patients' clinical symptoms, and at the same time can improve the rehabilitation effect of patients, which can be vigorously promoted and applied in future nursing work.