探讨加速康复外科（FTS）理念在结肠造口旁疝围手术期的应用效果。

选取2015年2月至2018年9月，四川大学华西医院接受腹腔镜结肠造口旁疝修补术的结、直肠癌患者40例，采用随机数字表法将患者分为观察组和对照组，每组患者20例。对照组围手术期给予常规护理，观察组采用FTS理念指导下的围手术期护理。比较2组患者手术相关临床参数、治疗前后抑郁/焦虑状态、出院时造口相关自我效能，记录术后并发症发生情况。

与对照组比较，观察组术后进食时间、自主下床活动时间及住院时间均明显提前，差异均有统计学意义（P<0.05）。与治疗前比较，出院后1个月2组患者抑郁自评量表及焦虑自评量表评分均明显降低，且观察组明显低于对照组，差异有统计学意义（P<0.05）。与对照组比较，观察组患者出院时造口相关自我效能2个维度及6个单独条目评分均明显升高（P<0.05）。观察组总并发症发生率明显低于对照组（P<0.05）。

在FTS理念指导下进行围手术期护理可明显缓解接受结肠造口旁疝手术治疗的结直肠癌患者抑郁、焦虑状态，提高患者术后造口相关自我效能，降低术后并发症发生率，促进患者早日康复。

To explore the application of fast track surgery (FTS) concept in perioperative period of parastomal hernia of colostomy.

40 patients with colorectal cancer who underwent laparoscopic hernia repair of parastomal hernia of colostomy in Chengdu Shangjin Nanfu Hospital between February 2015 and September 2018 were selected and divided into the experiment group and the control group by random number table method, 20 cases in each group. The control group received routine nursing care during the perioperative period, the experiment group used perioperative nursing care under the guidance of the FTS concept. The clinical parameters, the depression/anxiety status before and after treatment and the ostomy-related self-efficacy at discharge of the 2 groups were compared, the postoperative complications were recorded.

Compared with the control group, the eating time, spontaneous bedtime and hospital stay significantly advanced in the experiment group (P<0.05). Compared with period before treatment, the scores of SDS and SAS significantly decreased 1 month after discharge in the 2 groups, and the experiment group was significantly lower than the control group (P<0.05). Compared with the control group, the scores of the ostomy-related self-efficacy and 6 individual items when discharge in the experiment group significantly increased (P<0.05). The incidence of total complications in the experiment group was significantly lower than that in the control group (P<0.05).

Perioperative nursing care under the guidance of FTS concept can significantly alleviate the depression and anxiety status of patients with colorectal cancer who underwent parastomal hernia repair, improve postoperative ostomy-related self-efficacy, reduce the incidence of postoperative complications, promote early recovery of the patients.