[Application of fast-track surgery concept in the perioperative nursing care of andrological patients: A randomized controlled study]

To evaluate the application of the fast-track surgery (FTS) concept in the nursing care of andrological patients during the perioperative period.A total of 200 males to be treated by andrological surgery were included in a control group and another 200 in an observation group, the former received conventional perioperative nursing care, while the latter underwent an FTS nursing care procedure including a variety of proven effective methods to reduce surgical stress and achieve a quick recovery during the perioperative period. Comparisons were made between the two groups of patients in the postoperative enterokinesia time, anal exhaust time, eating time, off-bed time, defecating time, bowel preparation complications, and degree of comfort and satisfaction.Compared with the controls, the patients in the observation group showed significantly earlier postoperative enterokinesia time (［5.8±0.9］ vs ［4.4±1.4］ h, P0.01), anal exhaust time (［10.8±1.8］ vs ［7.7±2.0］ h, P0.01), eating time (［12.9±0.7］ vs ［6.3±0.7］ h, P0.01), off-bed time ［14.3±2.7］ vs ［8.2±1.4］ h, P0.01), and defecating time (［49.2±2.6］ vs ［39.6±2.5］ h, P0.01), a lower incidence of bowel preparation complications (P0.01), and a higher degree of comfort (P0.01) and satisfaction (［97.5±0.7］% vs ［99.4±+0.3］ %, P0.01).The FTS concept can be safely and effectively applied to the perioperative nursing care of andrological patients to achieve a faster recovery and higher degree of comfort and satisfaction postoperatively.目的： 研究快速康复外科(FTS)在男科围手术期护理中的应用效果。方法: 选择行男科手术200例患者作为对照组，采用传统护理方法。男科手术的另200 例患者作为观察组，应用FTS理念进行围手术期护理，在围手术期间应用各种已证实有效的方法，减少患者手术应激，使其快速康复。比较两组患者术后肠蠕动时间、首次排气时间、进食时间、下床活动时间、首次排便时间及肠道准备并发症，舒适度、患者护理满意度。结果: 观察组与对照组相比，术后肠蠕动时间分别为（4.4±1.4）h和（5.8±0.9）h，首次排气时间（7.7±2.0）h和（10.8±1.8）h，进食时间（6.3±0.7）h和（12.9±0.7）h，下床活动时间（8.2±1.4）h和（14.3±2.7）h，首次排便时间（39.6±2.5）h和（49.2±2.6）h，以上5项指标观察组均短于对照组(P0.01)；患者肠道准备并发症发生率观察组低于对照组(P0.05)；观察组留置与早期拔除导尿管的舒适度高于对照组(P0.01)；护理满意度［（99.4±0.3）%和（97.5±0.7 ）%］，观察组高于对照组，两组比较差异具有统计学意义（P0.05）。结论: 快速康复在男科围手术期护理中的应用是实效安全的，可以促进康复，改善质量，值得在男科临床护理中推广与应用。.