基于加速康复外科理念的围麻醉期体位护理模式在胸腔镜手术患者中的应用  

Effects of perianesthesia position nursing model based on enhanced recovery after surgery in patients undergoing thoracoscopic surgery

作　　者：陈娟丽[1] 胡玉琴[1] 周燕[1] 胡四平[2] Chen Juanli;Hu Yuqin;Zhou Yan;Hu Siping(Operating Room,Huzhou Central Hospital,Zhejiang Province,Affiliated Hospital of HuZhou Normal University,Huzhou 313000,China;Department of Anesthesia,Huzhou Central Hospital,Zhejiang Province,Affiliated Hospital of HuZhou Normal University,Huzhou 313000,China)

机构地区：[1]浙江省湖州市中心医院,湖州师范学院附属中心医院手术室,313000 [2]浙江省湖州市中心医院,湖州师范学院附属中心医院麻醉科,313000

出　　处：《中华现代护理杂志》2020年第35期4977-4980,共4页Chinese Journal of Modern Nursing

基　　金：湖州市科技局公益性应用研究项目(2020GY40)。

摘　　要：目的探讨基于加速康复外科(ERAS)理念的围麻醉期体位护理模式在胸腔镜手术患者中的应用效果。方法采用便利抽样法,选取2019年7—12月在湖州市中心医院接受胸腔镜肺部手术的100例患者为研究对象,采用随机数字表将其随机分为对照组和试验组,每组各50例。试验组采用围麻醉期体位护理模式,对照组采用传统手术体位护理。比较两组患者体位安置时间、安置人数、插管时间、舒适度和疼痛程度。结果两组患者体位安置时间、安置人数差异有统计学意义(P<0.05)。试验组GCQ评分高于对照组,VAS评分低于对照组,差异均有统计学意义(P<0.05)。结论基于ERAS理念的围麻醉期体位护理模式在胸腔镜手术患者的应用可以缩短体位安置时间,降低患者疼痛程度,提高患者舒适度。Objective To explore the effects of perianesthesia position nursing model based on enhanced recovery after surgery(ERAS)in patients undergoing thoracoscopic surgery.Methods Totally 100 patients undergoing thoracoscopic pulmonary surgery in Huzhou Central Hospital between July and December 2019 were selected by convenient sampling and divided into the control group and the experimental group according to the random number table,with 50 cases in each group.Patients in the experimental group received perianesthesia position nursing,while patients in the control group received conventional position nursing.The time of position placement,number of placement personnel,intubation time,comfort and pain were compared between the two groups.Results There were statistically significant differences in the placement time and number of placement personnel between the two groups(P<0.05).The GCQ score of the experimental group was higher,while the VAS score was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions The perianesthesia position nursing model based on ERAS can shorten the time of posture placement,reduce the pain,and improve the comfort in patients undergoing thoracoscopic surgery.

关 键 词：快速康复 围麻醉期 手术体位 胸腔镜 

分 类 号：R473.6[医药卫生—护理学]