快速康复外科模式联合心理干预对肝胆外科手术患者术后康复指标及不良情绪的影响

The Effect of Rapid Recovery Surgery Mode Combined with Psychological Intervention on Postoperative Rehabilitation Indicators and Negative Emotions in Patients Undergoing Hepatobiliary Surgery

摘要: 目的：评价快速康复外科模式联合心理干预对肝胆外科手术患者术后康复指标及不良情绪的影响。方法：研究调查区间为2020年5月~2024年12月，收治的调查目标为空军军医大学第二附属医院普外科行肝胆外科手术治疗患者，收集150例依据随机单盲法分组，每组各纳入75例，分别实施常规护理(对照组)和快速康复外科 + 心理护理(观察组)，对照各组患者的康复指标、并发症情况、不良情绪和生活水平的变化。结果：观察组患者护理后的各方面康复指标的改善优于对照组，其术后并发症发生率低于对照组，差异有统计意义(P < 0.05)；护理后观察组患者的不良情绪分值均低于对照组，其生活质量评分比对照组高，统计结果P < 0.05。结论：予以肝胆外科手术患者提供快速康复外科 + 心理干预的效果良好，对改善患者的治疗心情和提高康复效果具有积极作用，值得临床采纳。

Abstract: Objective: To evaluate the effects of rapid rehabilitation surgery combined with psychological intervention on postoperative rehabilitation indicators and negative emotions in patients undergoing hepatobiliary surgery. Method: The research survey period was from May 2020 to December 2024. The survey target was patients undergoing liver and gallbladder surgery at the Second Affiliated Hospital of Air Force Medical University. A total of 150 patients were randomly divided into two groups using a single blind method, with 75 patients in each group receiving routine nursing (control group) and rapid rehabilitation surgery + psychological nursing (observation group). The changes in rehabilitation indicators, complications, negative emotions, and living standards of patients in each group were compared. Result: The improvement of various rehabilitation indicators in the observation group after nursing was better than that in the control group, and the incidence of postoperative complications was lower than that in the control group, with statistical significance (P < 0.05); The negative emotion scores of patients in the observation group after nursing were lower than those in the control group, and their quality of life scores were higher than those in the control group, with a statistical result of P < 0.05. Conclusion: Providing rapid recovery surgery and psychological intervention to patients undergoing hepatobiliary surgery has a good effect, and has a positive effect on improving patients’ treatment mood and enhancing rehabilitation outcomes. It is worthy of clinical adoption.