加速康复外科护理在腹腔镜腹膜透析导管置入术围手术期中的应用  

Application of Enhanced Recovery After Surgery Nursing Mode in Perioperative Care of Laparoscopic Peritoneal Dialysis Catheter Placement

作　　者：蔺小霞 陈朝晖[1] 毛楠[2] 李琴[2] 江莉萍[2] Lin Xiaoxia;Chen Chaohui△;Mao Nan;Li Qin;Jiang Liping(Department of Integrated Traditional Chinese and Western Medicine,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;Department of Nephrology,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都医学院第一附属医院中西医结合科,成都610500 [2]成都医学院第一附属医院肾病科,成都610500

出　　处：《成都医学院学报》2022年第4期496-499,共4页Journal of Chengdu Medical College

摘　　要：目的探讨加速康复外科护理(ERAS)在腹腔镜腹膜透析导管置入术围手术期护理中的应用效果。方法选取2017年1月至2019年6月在成都医学院第一附属医院肾病科行腹腔镜腹膜透析导管置入术患者60例为研究对象,采用随机数字表法将患者分为对照组和试验组,每组30例。围手术期对照组患者实施肾病科常规护理,试验组在对照组基础上实施ERAS。比较两组患者的护理满意度、围手术期并发症发生率以及初次进水、进食、通气、下床活动、通便时间等康复指标。结果试验组的护理满意度高于对照组,并发症发生率低于对照组(P<0.05);试验组术后初次进水时间、进食时间、通气时间、下床活动时间、通便时间均短于对照组,差异有统计学意义(P<0.05)。结论ERAS应用于腹腔镜腹膜透析导管置入术患者围手术期,有助于降低围手术期并发症发生率、加快患者康复进度和提高患者满意度。Objective To explore the effect of enhanced recovery after surgery(ERAS)nursing mode in perioperative care of laparoscopic peritoneal dialysis catheter placement.Methods A total of 60 patients who underwent laparoscopic peritoneal dialysis catheter placement in the nephrology department of the First Affiliated Hospital of Chengdu Medical College from January 2017 to June 2019 were selected as the research objects.The patients were randomly divided into control group and experimental group.During the perioperative period,patients in the control group received routine care,while patients in the experimental group received ERAS on the basis of routine care.Nursing satisfaction,incidence of perioperative complications and rehabilitation indexes such as initial water intake,eating,ventilation,out of bed activities and defecation time were compared between the two groups.Results Compared with the control group,the experimental group had higher nursing satisfaction,lower incidence of complications,and earlier initial water intake,eating,ventilation,out of bed activities and defecation,and the differences were statistically significant(P<0.05).Conclusion The application of ERAS nursing mode in perioperative care of laparoscopic peritoneal dialysis catheter placement is helpful to reduce the incidence of perioperative complications,accelerate the progress of rehabilitation and improve patient satisfaction.

关 键 词：加速康复外科 腹腔镜腹膜透析导管置入术 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]