[1]陈爱花.加速康复外科理念对泌尿外科常见腹腔镜手术患者围手术期的护理效果[J].医学信息,2020,33(04):188-189,192.[doi:10.3969/j.issn.1006-1959.2020.04.064]
　CHEN Ai-hua.Perioperative Nursing Effect of Enhanced Recovery after Surgery Concept on Patients with Common Laparoscopic Surgery in Urology[J].Medical Information,2020,33(04):188-189,192.[doi:10.3969/j.issn.1006-1959.2020.04.064]
点击复制

加速康复外科理念对泌尿外科常见腹腔镜手术患者围手术期的护理效果()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年04期
页码:
188-189,192
栏目:
护理研究
出版日期:
2020-02-15

文章信息/Info

Title:
Perioperative Nursing Effect of Enhanced Recovery after Surgery Concept on Patients with Common Laparoscopic Surgery in Urology
文章编号:
1006-1959（2020）04-0188-03
作者:
陈爱花
（江西省九江瑞昌人民医院泌尿外科，江西 瑞昌 332200）
Author(s):
CHEN Ai-hua
(Department of Urology,Jiujiang Ruichang People’s Hospital,Ruichang 332200,Jiangxi,China)
关键词:
加速康复外科; 泌尿外科; 腹腔镜手术; 围手术期护理
Keywords:
Enhanced recovery after surgery; Urology; Laparoscopic surgery; Perioperative nursing
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2020.04.064
文献标志码:
A
摘要:
目的 探讨加速康复外科（ERAS）理念对泌尿外科常见腹腔镜手术患者围手术期的护理效果。方法 选取2016年2月~2017年2月我院行腹腔镜手术患者206例作为研究对象，采用随机数字表法分为观察组和对照组，每组103例。对照组实施常规护理，观察组实施ERAS理念指导下的护理模式，比较两组术后24、72 h VAS评分、护理效果（肛门排气排便时间，下床活动时间、住院时间、住院费用）及并发症发生情况。结果 观察组术后24、72 h VAS 评分低于对照组，差异有统计学意义（P＜0.05）；观察组排气时间、下床活动时间、住院时间及住院费用均优于对照组[（21.90±3.43）h vs（39.77±5.73）h]、[（20.05±3.94）h vs（48.93±5.66）h]、[（3.80±0.72）d vs（5.75±0.90）d]、[（3.86±0.75）万元vs（6.44±0.40）万元]，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组（0.97% vs 15.53%），差异有统计学意义（P＜0.05）。结论 ERAS理念指导下的护理模式应用于泌尿科常见腹腔镜手术患者围手术期护理效果较好，可有效缓解患者术后疼痛、缩短患者排气时间、下床活动时间、住院时间，降低患者住院费用。
Abstract:
Objective To explore the nursing effect of enhanced recovery after surgery (ERAS) concept on patients undergoing laparoscopic surgery in urology.Methods From February 2016 to February 2017, 206 patients who underwent laparoscopic surgery in our hospital were selected as the research objects, and the random number table method was used to divide them into observation group and control group, with 103 cases in each group. The control group received routine nursing, the observation group implemented nursing mode guided by the ERAS concept, and the 24 and 72 h postoperative VAS scores, nursing effects (anal exhaust defecation time, out of bed activity time, hospitalization time, hospitalization cost) of the two groups were compared and complications.Results The VAS scores in the observation group at 24 and 72 h after surgery were lower than those in the control group,the differences were statistically significant (P<0.05); the exhaust time, time to get out of bed, length of hospital stay, and hospitalization costs in the observation group were better than those in the control group [(21.90±3.43) h vs (39.77±5.73) h], [(20.05±3.94) h vs (48.93±5.66) h], [(3.80±0.72) d vs (5.75±0.90) d],[(3.86±0.75) million vs (6.44±0.40) million], the difference was statistically significant (P<0.05); the incidence of complications in the observation group was lower than that in the control group (0.97% vs 15.53%),the difference was statistical significance (P<0.05).Conclusion The nursing mode guided by the ERAS concept is effective in the perioperative nursing of patients with common laparoscopic surgery in urology. It can effectively alleviate postoperative pain, shorten patients’ exhaust time, get out of bed, length of hospital stay, and reduce the hospitalization cost.

参考文献/References:

[1]张霞,刘从,吴谦.快速康复外科理念在脑膜瘤患者围手术期护理中的应用[J].中国肿瘤临床与康复,2017,24(9):113-115. [2]王赛平,祝胜美.行为转变阶段护理模式应用于外科手术患者的效果观察[J].中国现代医生,2015(21):136-139. [3]王庆丽.加速康复外科理念在泌尿外科腹腔镜围术期护理中的应用[J].实用临床医药杂志,2017,21(20):69-71. [4]刘娟,许敬萍,周萍,等.快速康复外科理念在泌尿外科常见腹腔镜手术围手术期护理中的应用[J].广东医学,2018,39(6):952-955. [5]张继芝,李秀娥.心脏瓣膜置换患者围手术期加速康复外科护理[J].护理学杂志,2017,32(16):27-30.

更新日期/Last Update: 2020-02-15