摘要
目的探讨基于快速康复外科理念(Enhanced Recovery After Surgery,ERAS)的围术期护理干预模式用于经皮肾镜取石术(Percutaneous Nephrolithotomy,PCNL)患者中的应用效果。方法便利选取2022年8月—2023年8月佛山市高明区人民医院收治的84例PCNL患者,基于随机数表法分为对照组和观察组。前组纳入42例实行常规护理,后组纳入42例实行ERAS围术期护理模式。比较两组的负性情绪、术后恢复指标、疼痛程度、并发症发生率、患者满意度。结果干预后,两组焦虑自评量表、抑郁自评量表评分均降低,且观察组降低更明显,差异有统计学意义(P均<0.05)。与对照组对比,观察组首次排气时间[(1.93±0.56)d vs(1.17±0.24)d]、首次排便时间[(2.32±0.73)d vs(1.69±0.51)d]、下床活动时间[(3.81±1.12)d vs(2.18±0.69)d]均较短,差异有统计学意义(t=8.084、4.584、8.030,P均<0.05)。相较于对照组,观察组术后4、24、48 h时视觉模拟法评分更低,观察组并发症发生率更低,观察组满意度更高,差异有统计学意义(P均<0.05)。结论PCNL患者开展基于ERAS的围手术期护理,有利于消除患者的负性情绪,并加快术后康复进程,减少相关并发症的出现,以实现改善预后的干预目的,取得满意的应用效果。
Objective To investigate the effect of perioperative nursing intervention model based on the concept of enhanced recovery after surgery(ERAS)in patients with percutaneous nephrolithotomy(PCNL).Methods A total of 84 patients with PCNL admitted to Gaoming District People's Hospital of Foshan City from August 2022 to August 2023 were conveniently selected and divided into control group and observation group based on the random number table method.The former group included 42 patients receiving routine nursing,and the latter group included 42 patients receiving ERAS perioperative nursing mode.Negative emotion,postoperative recovery index,pain degree,complication rate and patient satisfaction were compared between the two groups.Results After intervention,the scores of Selfrating Anxiety Scale and Self-rating Depression Scale in both groups decreased,and the decrease was more obvious in the observation group,and the difference was statistically significant(all P<0.05).Compared with the control group,the first exhaust time[(1.93±0.56)d vs(1.17±0.24)d],the first defecation time[(2.32±0.73)d vs(1.69±0.51)d],and the getting out of bed time[(3.81±1.12)d vs(2.18±0.69)d]in the observation group were shortened,and the difference was statistically significant(t=8.084,4.584,8.030,all P<0.05).Compared with the control group,the postoperative Visual Analogue Scale scores in observation group had lower scores at 4,24,and 48 hours after surgery,the complication rate of observation group was lower,the satisfaction of the observation group was higher,and the differences were statistically significant(all P<0.05).Conclusion Perioperative nursing of PCNL patients based on ERAS is conducive to eliminating the negative emotions of patients,speeding up the postoperative rehabilitation process and reducing the occurrence of related complications,so as to achieve the intervention purpose of improving the prognosis and achieve satisfactory application results.
作者
卢霞
徐永秀
王瑜
LU Xia;XU Yongxiu;WANG Yu(Department of Surgery V,Gaoming District People's Hospital,Foshan,Guangdong Province,528500 China)
出处
《中外医疗》
2024年第11期145-149,共5页
China & Foreign Medical Treatment
关键词
快速康复外科理念
经皮肾镜
围手术期护理
应用效果
满意度
The concept of enhanced recovery after surgery
Percutaneous nephroscopy
Perioperative nursing
Application effect
Satisfaction
作者简介
卢霞(1984-),女,本科,副主任护师,研究方向为伤口造口尿失禁;通信作者:徐永秀(1981-),女,本科,主管护师,研究方向为临床护理,E-mail:70958415@qq.com。
