[1]陳愛花.加速康復外科理念對泌尿外科常見腹腔鏡手術患者圍手術期的護理效果[J].醫學信息,2020,(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,(04):188-189,192.[doi:10.3969/j.issn.1006-1959.2020.04.064]
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加速康復外科理念對泌尿外科常見腹腔鏡手術患者圍手術期的護理效果()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2020年04期
頁碼:
188-189,192
欄目:
護理研究
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
文章編號:
1006-1959(2020)04-0188-03
作者:
陳愛花
(江西省九江瑞昌人民醫院泌尿外科,江西 瑞昌 332200)
Author(s):
CHEN Ai-hua
(Department of Urology,Jiujiang Ruichang People’s Hospital,Ruichang 332200,Jiangxi,China)
關鍵詞:
加速康復外科泌尿外科腹腔鏡手術圍手術期護理
Keywords:
Enhanced recovery after surgeryUrologyLaparoscopic surgeryPerioperative nursing
分類號:
R473
DOI:
10.3969/j.issn.1006-1959.2020.04.064
文獻標志碼:
A
摘要:
目的 探討加速康復外科(ERAS)理念對泌尿外科常見腹腔鏡手術患者圍手術期的護理效果。方法 選取2016年2月~2017年2月我院行腹腔鏡手術患者206例作為研究對象,采用隨機數字表法分為觀察組和對照組,每組103例。對照組實施常規護理,觀察組實施ERAS理念指導下的護理模式,比較兩組術后24、72 h VAS評分、護理效果(肛門排氣排便時間,下床活動時間、住院時間、住院費用)及并發癥發生情況。結果 觀察組術后24、72 h VAS 評分低于對照組,差異有統計學意義(P<0.05);觀察組排氣時間、下床活動時間、住院時間及住院費用均優于對照組[(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)萬元vs(6.44±0.40)萬元],差異有統計學意義(P<0.05);觀察組并發癥發生率低于對照組(0.97% vs 15.53%),差異有統計學意義(P<0.05)。結論 ERAS理念指導下的護理模式應用于泌尿科常見腹腔鏡手術患者圍手術期護理效果較好,可有效緩解患者術后疼痛、縮短患者排氣時間、下床活動時間、住院時間,降低患者住院費用。
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.

參考文獻/References:

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