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International Journal of Nursing Research. 2019; 1: (1) 5; DOI:10.12208/j.ijnr.20190005.

Analysis of the effect of accelerated rehabilitation surgery on perioperative nursing in orthopedic patients
分析加速康复外科理念在骨科患者围手术期护理的效果

作者: 张曼齐*

西安交通大学第一附属医院骨科

*通讯作者:张曼齐,单位:西安交通大学第一附属医院骨科;

引用本文: 张曼齐. 分析加速康复外科理念在骨科患者围手术期护理的效果[J]. 国际护理学研究, 2019, 1(1) : 26-31.
Published: 2019-08-23

摘要

目的:观察加速康复外科理念(ERAS)在骨科围术期中的应用效果。方法:将本院2017.4-2019.4接诊的162例骨科手术病人,按照随机原则分组。一组实施常规围术期护理,一组实施ERAS。对比两组术后通气、下床和住院耗时,围术期各种并发症,对护理工作满意度评价结果。结果:EERAS组术后通气时间(1.13±0.32)h、床上活动(6.71±1.84)h、床下活动(4.32±1.04)h、住院耗时(11.82±3.40)d短于常规组(1.98±0.47)h、(13.32±3.02)h、(6.21±1.15)h、(17.25±4.33)d,p<0.05;ERAS组并发症发生率2.46%高于常规组9.88%;ERAS组满意度98.77%高于常规组91.36%,p<0.05。结论:骨科手术患者围术期护理需求较多,护理内容繁杂,ERAS的实施可促进围术期各环节护理程序合理化、科学化,有助于改善患者术后身体状态,预防和减少多种并发症,从而提高满意度,值得推广。

关键词: 加速康复外科理念;骨科手术;围术期并发症;满意度

Abstract

Objective: To observe the application effect of accelerated rehabilitation surgery concept (ERAS) in perioperative period of orthopedics. METHODS: A total of 162 orthopedic surgery patients who were admitted to our hospital from 2017.4-2019.4 were grouped according to random principles. One group performed routine perioperative care and one group implemented ERAS. Compare the postoperative ventilation, get out of bed and hospitalization time, the various complications during the perioperative period, and the evaluation results of nursing work satisfaction. RESULTS: Postoperative ventilation time (1.13±0.32) h, bed activity (6.71±1.84) h, bed activity (4.32±1.04) h, hospitalization time (11.82±3.40) d were shorter in the EERAS group than in the conventional group (1.98±0.47). h, (13.32 ± 3.02) h, (6.21 ± 1.15) h, (17.25 ± 4.33) d, p < 0.05; ERAS group complication rate 2.46% higher than the conventional group 9.88%; ERAS group satisfaction 98.77% high In the conventional group, 91.36%, p < 0.05.
Conclusion  : The perioperative nursing needs of orthopedic surgery patients are more and the nursing content is complicated. The implementation of ERAS can promote the rationalization and scientificization of the nursing procedures in each stage of the perioperative period, which can help improve the postoperative physical condition of patients, prevent and reduce multiple concurrency. The disease, which improves satisfaction, is worth promoting.

Key words: accelerated rehabilitation surgery concept; orthopedic surgery; perioperative complications; satisfaction

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