Application of fast track surgery in Ttonsillectomy or adenoidectomy perioperative nursing / 中国实用护理杂志

ABSTRACT

Objective To explore the application effect of fast track surgery in tonsillectomy or adenoidectomy perioperative nursing. Methods Totally 123 Patients with tonsillectomy or adenoidectomy were selected as study group to receive the nursing care under the guidance of the concept of fast track surgery.74 patients with the same surgery from early clinical data who were treated by traditional nursing care were selected as control group. Postoperative pain score, length of hospital stay, the incidence of complications and the families of children with satisfaction were compared between the two groups. Results The average hospital stay was(4.56±1.28)d in the study group and(6.32±1.56)d in the control group. The difference was statistically significant (t=2.35, P<0.01). The postoperative hospital stay was (2.37±1.17)d,the control group was(3.18±1.34)d,the difference between the two groups was statistically significant(t=1.97,P<0.05).Pain score in the study group was 1.73±0.91,in the control group was 3.77± 0.84,the difference between the two groups was statistically significant(t=20.37,P<0.01).There was no significant difference in the incidence of complications between the two groups(P>0.05),and there were statistically significant differences in the satisfaction of children and their families (χ2=23.05,P<0.01). Conclusion Application of fast track surgery concept in the perioperative care of pediatric tonsil adenoidectomy can relieve postoperative pain,shorten the length of hospital stay,improve the satisfaction degree of the patients and their families and is worth of being generalized.