Application of fast track surgery in the perioperative nursing of patients with abdominal operation

Objective To analyze the application effect of fast track surgery in the perioperative nursing of patients with abdominal operation .Methods Ninety-one patients with abdominal operation were chosen and divided into the control group （n=45） and the observation group （n=46） according the stratified randomization grouping method.The control group received the routine nursing , and the observation group received the fast track surgery.The preoperative discomfort , postoperative pain, time of gastrointestinal function recovery and the incidence rate of complications after operation were compared between two groups .Results Compared with the control group , the cases of patients with the sensation of thirst , hunger , anxiety in the observation group were significantly less than those in the control group , and the differences were statistically significant （χ2 =3.965, 11.984,17.036, respectively;P〈0.05）.The time of bowel movement after operation was （50.79 ±2.52） h in the observation group, and was （57.25 ±2.57） h in the control group, and the difference was statistically significant （t=1.795,P〈0.05）.The degree of postoperative pain in the observation group was lower than that of the control group, and the difference was statistically significant （Z=-4.768,P〈0.01）.The incidence rate of complications after operation in the observation group was 8.7%, and was lower than 28.9% in the control group, and the difference was statistically significant （χ2 =6.106,P〈0.05）.Conclusions Compared with conventional nursing , the nursing intervention of fast track surgery has obvious advantage to promote early recovery of patients with abdominal operation . Key words: Surgical operation Perioperative nursing Fast track surgery