Application of day surgery nursing based on finite time theory in patients undergoing gastroesophageal reflux surgery_West China Medical Journal

Authors：

JIANG Lu , LIU Xiaonan , NIU Mingming , YU Peihua ,  XU Lei

Day Surgery Center, the First Affiliated Hospital of Air Force Medical University, Xi’an, Shaanxi 710032, P. R. China;

Corresponding?author：

XU Lei, Email: Xulei55087029@163.com

Keywords：

Finite time theory; day surgery; gastroesophageal reflux surgery; pain management; postoperative rehabilitation

DOI：

10.7507/1002-0179.202601082

Video：

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Objective To explore the application effect of day surgery nursing based on finite time theory in patients undergoing gastroesophageal reflux surgery. Methods A total of 108 patients undergoing gastroesophageal reflux surgery in Day Surgery Center of the First Affiliated Hospital of Air Force Medical University were enrolled and divided into control group (n=54, routine nursing) and study group (n=54, finite time theory intervention on basis of control group) according to random number table method between May 2023 and May 2025. The scores of Visual Analogue Scale (VAS) for pain before and after surgery, postoperative recovery indexes, total incidence of postoperative complications, scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) before surgery and discharge, and patients satisfaction in the two groups were compared. Results After surgery, the VAS score in the study group was lower than that in the control group (2.86±0.31 vs. 3.58±0.39, P<0.05). The first leaving bed time, the first time for liquid intake, and the postoperative anal exhaust time in the study group [(6.23±0.68), (4.22±0.53), and (16.78±2.03) h, respectively] were shorter than those in control group [(8.24±1.34), (6.68±0.86), (19.14±2.21) h, respectively; P<0.05]. Before discharge, the scores of SAS and SDS in the study group (49.14±5.11 and 41.26±4.31, respectively) were lower than those in the control group (53.79±5.58 and 49.85±5.06, respectively; P<0.05). The scores of patients satisfaction with daytime medical treatment process, doctor-nurse-patient communication, service attitude of medical staff and health education methods in the study group (91.56±3.58, 93.27±3.24, 92.07±5.37, and 92.68±4.22, respectively) were higher than those in the control group (82.35±4.11, 83.51±5.20, 84.11±4.33, and 81.70±5.41, respectively; P<0.05). There was no significant difference in the total incidence of postoperative complications between the two groups (9.25% vs. 16.67%, P>0.05). Conclusion The day surgery nursing based on finite time theory can effectively alleviate postoperative pain, accelerate postoperative recovery, improve psychological state and nursing satisfaction in patients undergoing gastroesophageal reflux surgery.

1.	魏秀秀, 張北華, 馬祥雪, 等. 腸道菌群與胃食管反流病的相關性研究進展. 世界中醫藥, 2024, 19(24): 3903-3908.
2.	Wong R, Navarro-Rodriguez T, Fass R. Gastroesophageal reflux disease and Amazon. com. J Clin Gastroenterol, 2025, 59(8): 695-699.
3.	寧鵬濤, 俞德梁, 高博欣, 等. 日間手術模式開展食管裂孔疝手術臨床分析. 中華外科雜志, 2020, 58(9): 728-729.
4.	馬英閣. 激勵式護理干預對胃食管反流病患者腹腔鏡術后治療效果、負性情緒及生活質量的影響. 首都食品與醫藥, 2020, 27(14): 147.
5.	余萍, 曹娟, 袁松濤. 基于流程化溝通的三級管理模式對白內障日間手術患者焦慮和抑郁情緒的影響. 精神醫學雜志, 2023, 36(5): 517-520.
6.	何靜, 楊玉瓊, 李明軒. 日間手術模式管理下宮腔粘連患者的焦慮、抑郁癥狀現狀及其影響因素. 華西醫學, 2025, 40(2): 211-216.
7.	呂高靜, 楊晶, 于源. 基于有限時機理論的一體鏈式急救護理對急性腦梗死患者急救效率、神經功能的干預效果. 國際護理學雜志, 2025, 44(12): 2155-2159.
8.	魏麗容, 余天鵬, 陳清, 等. 有限時機理論指導的急診綠色通道護理流程在急性缺血性腦卒中患者中的應用. 中西醫結合護理(中英文), 2023, 9(9): 148-150.
9.	中華醫學會, 中華醫學會雜志社, 中華醫學會消化病學分會, 等. 胃食管反流病基層診療指南(2019 年). 中華全科醫師雜志, 2019, 18(7): 635-641.
10.	萬麗, 趙晴, 陳軍, 等. 疼痛評估量表應用的中國專家共識(2020 版). 中華疼痛學雜志, 2020, 16(3): 177-187.
11.	楊彥, 譚昌靜 , 楊效東, 等. 腹腔鏡下修補術治療胃十二指腸潰瘍穿孔的療效及對 VAS 評分的影響. 中國現代普通外科進展, 2022, 25(3): 222-224.
12.	Campo-Arias A, Blanco-Ortega JD, Pedrozo-Pupo JC. Brief Spanish Zung Self-Rating Anxiety Scale: dimensionality, internal consistency, nomological validity, and differential item functioning among chronic obstructive pulmonary disease patients in Colombia. J Nurs Meas, 2022, 30(3): 407-418.
13.	Campo-Arias A, Pinto-Vásquez HL, Pedrozo-Pupo JC. Confirmatory factor analysis of the brief Spanish Zung Self-Rating Depression Scale in patients with chronic pulmonary obstructive disease. Perspect Psychiatr Care, 2022, 58(3): 889-893.
14.	薛東霞, 李瑾. 基于全科理念 Barthel 指數評定量表的康復護理在年齡>60 歲腦梗死后偏癱患者中的應用. 臨床研究, 2022, 30(1): 164-167.
15.	Fuchs KH, Hann A, Meining A. Gastroesophageal reflux disease - a review of important management components. Chirurgia (Bucur), 2025, 120(1): 5-14.
16.	李慧芬. 胃食管反流病復發與焦慮抑郁的相關性研究. 長沙: 中南大學, 2023.
17.	韓士舉, 林強, 韓偉, 等. 胃食管反流病與精神心理障礙心身共病機制研究的新進展. 醫學綜述, 2021, 27(23): 4690-4695.
18.	張晨曦, 趙玲玲, 張慧珍. 分級階段性護理干預對胃食管反流患者臨床癥狀、心理狀況及護理滿意度的影響. 國際護理學雜志, 2020, 39(24): 4540-4543.
19.	董里, 張月, 湯愛玲, 等. 胃食管反流病患者自我管理干預的最佳證據總結. 中華現代護理雜志, 2021, 27(28): 3839-3845.
20.	黃曉瑜. 以問題為導向的護理干預在胃食管反流病中的臨床應用研究. 護理實踐與研究, 2018, 15(16): 8-10.
21.	宋巖. 針對性護理對改善胃食管反流病患者癥狀及自我管理效能的影響. 中國冶金工業醫學雜志, 2024, 41(1): 47-48.
22.	王魯平, 葉彬妹. 基于有限時機理論的急診綠色通道護理流程用于急性腦卒中患者救護中的實踐. 中國醫藥指南, 2024, 22(15): 151-153, 157.
23.	柯杏, 朱靜飛, 寧靖, 等. 基于有限時機理論的急診綠色通道護理流程對提高急性 ST 段抬高型心肌梗死患者治療效果的作用. 實用臨床護理學電子雜志, 2022, 7(29): 82-84, 75.
24.	Willner A, Teske C, Hackert T, et al. Effects of early postoperative mobilization following gastrointestinal surgery: systematic review and meta-analysis. BJS Open, 2023, 7(5): zrad102.

1. 魏秀秀, 張北華, 馬祥雪, 等. 腸道菌群與胃食管反流病的相關性研究進展. 世界中醫藥, 2024, 19(24): 3903-3908.
2. Wong R, Navarro-Rodriguez T, Fass R. Gastroesophageal reflux disease and Amazon. com. J Clin Gastroenterol, 2025, 59(8): 695-699.
3. 寧鵬濤, 俞德梁, 高博欣, 等. 日間手術模式開展食管裂孔疝手術臨床分析. 中華外科雜志, 2020, 58(9): 728-729.
4. 馬英閣. 激勵式護理干預對胃食管反流病患者腹腔鏡術后治療效果、負性情緒及生活質量的影響. 首都食品與醫藥, 2020, 27(14): 147.
5. 余萍, 曹娟, 袁松濤. 基于流程化溝通的三級管理模式對白內障日間手術患者焦慮和抑郁情緒的影響. 精神醫學雜志, 2023, 36(5): 517-520.
6. 何靜, 楊玉瓊, 李明軒. 日間手術模式管理下宮腔粘連患者的焦慮、抑郁癥狀現狀及其影響因素. 華西醫學, 2025, 40(2): 211-216.
7. 呂高靜, 楊晶, 于源. 基于有限時機理論的一體鏈式急救護理對急性腦梗死患者急救效率、神經功能的干預效果. 國際護理學雜志, 2025, 44(12): 2155-2159.
8. 魏麗容, 余天鵬, 陳清, 等. 有限時機理論指導的急診綠色通道護理流程在急性缺血性腦卒中患者中的應用. 中西醫結合護理(中英文), 2023, 9(9): 148-150.
9. 中華醫學會, 中華醫學會雜志社, 中華醫學會消化病學分會, 等. 胃食管反流病基層診療指南(2019 年). 中華全科醫師雜志, 2019, 18(7): 635-641.
10. 萬麗, 趙晴, 陳軍, 等. 疼痛評估量表應用的中國專家共識(2020 版). 中華疼痛學雜志, 2020, 16(3): 177-187.
11. 楊彥, 譚昌靜 , 楊效東, 等. 腹腔鏡下修補術治療胃十二指腸潰瘍穿孔的療效及對 VAS 評分的影響. 中國現代普通外科進展, 2022, 25(3): 222-224.
12. Campo-Arias A, Blanco-Ortega JD, Pedrozo-Pupo JC. Brief Spanish Zung Self-Rating Anxiety Scale: dimensionality, internal consistency, nomological validity, and differential item functioning among chronic obstructive pulmonary disease patients in Colombia. J Nurs Meas, 2022, 30(3): 407-418.
13. Campo-Arias A, Pinto-Vásquez HL, Pedrozo-Pupo JC. Confirmatory factor analysis of the brief Spanish Zung Self-Rating Depression Scale in patients with chronic pulmonary obstructive disease. Perspect Psychiatr Care, 2022, 58(3): 889-893.
14. 薛東霞, 李瑾. 基于全科理念 Barthel 指數評定量表的康復護理在年齡>60 歲腦梗死后偏癱患者中的應用. 臨床研究, 2022, 30(1): 164-167.
15. Fuchs KH, Hann A, Meining A. Gastroesophageal reflux disease - a review of important management components. Chirurgia (Bucur), 2025, 120(1): 5-14.
16. 李慧芬. 胃食管反流病復發與焦慮抑郁的相關性研究. 長沙: 中南大學, 2023.
17. 韓士舉, 林強, 韓偉, 等. 胃食管反流病與精神心理障礙心身共病機制研究的新進展. 醫學綜述, 2021, 27(23): 4690-4695.
18. 張晨曦, 趙玲玲, 張慧珍. 分級階段性護理干預對胃食管反流患者臨床癥狀、心理狀況及護理滿意度的影響. 國際護理學雜志, 2020, 39(24): 4540-4543.
19. 董里, 張月, 湯愛玲, 等. 胃食管反流病患者自我管理干預的最佳證據總結. 中華現代護理雜志, 2021, 27(28): 3839-3845.
20. 黃曉瑜. 以問題為導向的護理干預在胃食管反流病中的臨床應用研究. 護理實踐與研究, 2018, 15(16): 8-10.
21. 宋巖. 針對性護理對改善胃食管反流病患者癥狀及自我管理效能的影響. 中國冶金工業醫學雜志, 2024, 41(1): 47-48.
22. 王魯平, 葉彬妹. 基于有限時機理論的急診綠色通道護理流程用于急性腦卒中患者救護中的實踐. 中國醫藥指南, 2024, 22(15): 151-153, 157.
23. 柯杏, 朱靜飛, 寧靖, 等. 基于有限時機理論的急診綠色通道護理流程對提高急性 ST 段抬高型心肌梗死患者治療效果的作用. 實用臨床護理學電子雜志, 2022, 7(29): 82-84, 75.
24. Willner A, Teske C, Hackert T, et al. Effects of early postoperative mobilization following gastrointestinal surgery: systematic review and meta-analysis. BJS Open, 2023, 7(5): zrad102.

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