基于流程管理理论的加速康复外科术前饮食管理模式的应用效果  

Application of preoperative diet management model of enhanced recovery after surgery based on process management theory

作　　者：夏丽敏[1] 林虹[1] 项晓 徐小群[2] Xia Limin;Lin Hong;Xiang Xiao;Xu Xiaoqun(Department of Colorectal and Anal Surgery,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Nursing,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第一医院结直肠肛门外科,温州325000 [2]温州医科大学附属第一医院护理部,温州325000

出　　处：《中华现代护理杂志》2021年第11期1450-1454,共5页Chinese Journal of Modern Nursing

基　　金：浙江省温州市科技局项目(Y20180354)。

摘　　要：目的探讨基于流程管理理论构建加速康复外科(ERAS)术前饮食管理模式,并分析新模式在临床实践中的应用效果。方法采用便利抽样的方法,选择温州医科大学附属第一医院结直肠外科2018年11月—2019年2月手术患者120例为对照组,术前采用常规禁食禁饮管理方案;选择2019年5—9月的118例手术患者为试验组,基于流程管理理论构建ERAS术前饮食管理模式,指导护士根据管理模式行术前禁食禁饮护理工作。比较两组患者术前饮食管理实施效果及满意度。结果试验组术前实际禁食为(6.53±0.86)h,禁饮时间为(2.74±0.76)h,均短于对照组,差异有统计学意义(t值分别为20.85、36.31;P<0.01)。试验组患者对新流程的满意度为(98.03±1.81)分,护士对新流程执行满意度为(98.47±1.42)分,均高于对照组,差异有统计学意义(t值分别为-33.57、-13.29;P<0.01)。结论基于流程管理理论的ERAS术前饮食管理模式能够提供合理有效的护理工作路径,改善患者术前不适体验,提高患者满意度。Objective To study how to construct the preoperative diet management mode of enhanced recovery after surgery(ERAS)based on process management theory,and the application effect of the new model in clinical practice.Methods By convenience sampling method,120 patients of colorectal surgery in the First Affiliated Hospital of Wenzhou Medical University from November 2018 to February 2019 were selected as the control group,and were treated with routine fasting and water deprivation management plan.A total of 118 patients from May to September 2019 were selected as the test group,and the new preoperative diet management process was used to guide nurses to prepare for preoperative fasting and water deprivation.The implementation effect of preoperative diet management and the satisfaction of patients and nurses to the process were evaluated.Results The actual preoperative fasting time of the experimental group was(6.53±0.86)hours,and the time of water deprivation was(2.74±0.76)hours,which were both significantly shorter than those of the control group,and the differences were statistically significant(t=20.85,36.31;P<0.01).The satisfaction of patients in the experimental group to the new process was(98.03±1.81),and the satisfaction of nursing staff was(98.47±1.42),which were both higher than those of the control group,and the differences were statistically significant(t=-33.57,-13.29;P<0.01).Conclusions The ERAS preoperative diet management model based on process management theory can provide reasonable and effective work path,improve the preoperative discomfort experience and patient satisfaction.

关 键 词：围手术期护理 加速康复外科 饮食管理 流程管理 禁食禁饮 

分 类 号：R473.6[医药卫生—护理学]