| Objectives:In this paper, publications of high quality at home and abroad about the fast track surgery published from January2009to February2014on the related literature are systematic reviewed.The current studies in clinical field,fast track surgery nursing intervention,and its effect are summarizd.To analyze the status quo and existing problems of FTS nursing in organizing and its implementation, and put forward the feasibility and rationalization proposals and Suggestions. So that we can promote the development of FTS nursing to a deeper level,promote the development of the high quality of nursing service, improve the quality of nursing care, improve patient satisfaction, promote the development of nursing career and nurse.Methods:The evaluation standard of the Cochrane intervention measures was followed,and literature retrieval strategy wasstrictly made.The paper retrived the1PubMed, China academic literature pool (CNKI) database service platform by the computer. Randomized controlled trials about FTS published from January2009to February2014quick were retrieved. Articles were screened according to the literature inclusion criteria and exclusion criteria.Literatures conform to the standards were retrived from the references and journals published for further screening. Referring evaluation standard of the Cochrane handbook,the end quality of literature were evaluated.Results:1, Through a comprehensive systematic literature retrieval,196articles on FTS nursing literature were preliminarily screened. Research involving a dozen areas, more than30ways of operation. Numbers of them were involved gastrointestinal surgery, liver and gallbladder surgery, urology surgery, thoracic surgery of the hip, knee surgery and gynecologic surgery.2,27references were included in this study, among them, there are11on gastrointestinal surgery,1on knee hip surgery,5on liver and gallbladder surgery,3on thoracic surgery,4on urology surgery and3on gynecologic surgery. Most of them are methodological as the medium quality, the class B literature. The maximum sample size was480people,and the minimum was40people. Published in2009,4references, published in2010,3articles, published in2012,9references and11articles published in2013.3, FTS for preoperative health education,Fasting drink time,intestinal preparation reserves attituds to indwelling gastric tube and other pipes, minimally invasive surgery, early eating and activity measures and methods applied in the field of multiple clinical surgery. This study will focus on the following three areas of intervention system evaluation.(1) Gastrointestinal surgery:Patients under the FTS nursing intervention, on postoperative fart for the first time, first eating liquid diet time, down motivition time, LOS, hospitalization expenses, complications and morbidity and mortality and patient satisfaction showed significant differences compared with traditional perioperative nursing, has the obvious superiority.(2)Liver and gallbladder surgery:Patients in controlled group in gastrointestinal function recovery time, LOS, hospitalization expenses, morbidity and mortality, and patient satisfaction and complications are much better than the traditional group.(3) Urology surgery:Intervention group patients in the first exhaust and defecation time, LOS, hospitalization expenses, complications, morbidity and mortality, and patient satisfaction were improved referring to the conventional group.Conclusion:1, FTS nursing received widespread attention at home and abroad because of its superiority.Its research involving as many as a dozen fields and more than30surgery ways, and more mature for gastrointestinal surgery, liver and gallbladder surgery, urology surgery,the hip and knee surgery,cardiothoracic surgery,gynecology and obstetrics surgery, etc.2, Currently,studies on the implement of FTS nursing research on gastrointestinal surgery,urinary surgery, liver and gallbladder surgery is uneven, most are medium. Sample size is relatively small, representativeness is poor.3, FTS nursing on the gastrointestinal surgery,,urinary surgery, liver and gallbladder surgery patients with surgical intervention is feasible and effective, it can promote the rapid recovery of surgical patients.4,FTS nursing adapts to the development of evidence-based nursing, its improvements and attempts on traditional perioperative nursing applicating in many clinical areas have received significant clinical effect.It can effectively shorten the LOS, reduce hospitalization expenses, reduce the complications; Improve patient satisfaction, improve prognosis, improve the quality of our medical care for clinical nursing path and provides possible and basis for the establishment of guidelines... |
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