摘要
目的 探究基于ERAS理念的护理路径在腹腔镜膀胱癌根治术中的应用效果。方法 将2023年3月至2025年1月我院收治的64例腹腔镜膀胱癌根治术患者，随机分为观察组、对照组，各32例。对照组、观察组分别实施常规护理、基于ERAS理念的护理路径干预。结果 在护理满意度方面，观察组为96.88%，对照组为81.25%，观察组明显高于对照组，有统计学意义（P＜0.05）；在不良反应发生率方面，观察组为3.13%，对照组为31.25%，观察组明显低于对照组，有统计学意义（P＜0.05）；结论 实施基于ERAS理念的护理路径干预在腹腔镜膀胱癌根治术患者中，护理人员会根据患者反馈及时调整方案，增强对康复过程的掌控感，提升主观体验，切实解决术后康复的核心难题，提升对护理专业性的信任，减少因护理流程混乱带来的困惑，提升就医体验的流畅度，值得参考。
关键词： ERAS理念；护理路径；腹腔镜；膀胱癌根治术
Abstract
Objective To explore the application effect of the nursing pathway based on the ERAS concept in laparoscopic radical cystectomy. Methods From March 2023 to January 2025, 64 patients who underwent laparoscopic radical cystectomy in our hospital were randomly divided into an observation group and a control group, with 32 cases in each group. The control group received conventional nursing, while the observation group received nursing pathway intervention based on the ERAS concept. Results In terms of nursing satisfaction, the observation group was 96.88%, and the control group was 81.25%. The observation group was significantly higher than the control group, with statistical significance (P < 0.05). In terms of the incidence of adverse reactions, the observation group was 3.13%, and the control group was 31.25%. The observation group was significantly lower than the control group, with statistical significance (P < 0.05). Conclusion The implementation of the nursing pathway intervention based on the ERAS concept in patients undergoing laparoscopic radical cystectomy enables nurses to adjust the plan in a timely manner based on patient feedback, enhances the sense of control over the rehabilitation process, improves the subjective experience, effectively solves the core problems in postoperative rehabilitation, enhances trust in the professionalism of nursing, reduces confusion caused by chaotic nursing procedures, and improves the smoothness of the medical experience. It is worth referring to.
Key words： ERAS concept; Nursing pathway; Laparoscopy; Radical cystectomy
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