加速康复外科护理在慢性鼻窦炎患者围手术期中的应用研究  

Effects of enhanced recovery after surgery nursing in the perioperative period of patients with chronic rhinosinusitis

作　　者：李莉[1] 任晓波[1] 杨光[1] 李秀雅[1] 南方[1] 王向东[1,2] Li Li;Ren Xiaobo;Yang Guang;Li Xiuya;Nan Fang;Wang Xiangdong(Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Beijing Institute of Otolaryngology,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730 [2]北京市耳鼻咽喉科研究所,北京100730

出　　处：《中华现代护理杂志》2022年第25期3455-3459,共5页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金面上项目(81970852);首都医科大学附属北京同仁医院科研基金(2018-YJJ-HLL-002)。

摘　　要：目的探讨加速康复外科(ERAS)护理在慢性鼻窦炎患者围手术期中的应用效果。方法采用便利抽样法,选取2019年7月—2021年1月首都医科大学附属北京同仁医院耳鼻咽喉头颈外科收治的106例慢性鼻窦炎患者作为研究对象,按照随机数字表法分为对照组(52例)和观察组(54例)。对照组给予常规护理,观察组在此基础上给予ERAS护理干预。比较两组患者的术前不适(口渴及饥饿)评分、术后不适(肩颈及腰背不适)发生率及围手术期焦虑状况、舒适度评分、出院满意度。结果观察组的术前口渴、饥饿程度评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者的术后肩颈及腰背部不适发生率、出院焦虑评分低于对照组,舒适度、出院满意度评分高于对照组,差异有统计学意义(P<0.05)。结论在慢性鼻窦炎患者围手术期应用ERAS护理可以降低患者术前口渴、饥饿及术后肩颈、腰背部不适的发生,改善患者围手术期焦虑,提高舒适度和出院满意度,促进患者快速康复。Objective To explore the effect of enhanced recovery after surgery(ERAS)nursing in patients with chronic sinusitis during the perioperative period.Methods From July 2019 to January 2021,106 patients with chronic sinusitis admitted to the Otolaryngology and Head and Neck Surgery,Beijing Tongren Hospital Affiliated to Capital Medical University were selected by convenience sampling as the research object.According to the random number table method,the patients were divided into the control group(52 cases)and the observation group(54 cases).The control group was given routine nursing,and the observation group was given ERAS nursing on this basis.The preoperative discomfort(thirst and hunger)scores,postoperative discomfort(shoulder,neck and low back discomfort)incidence,perioperative anxiety,comfort,and discharge satisfaction were compared between the two groups.Results The preoperative thirst and hunger scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The postoperative incidence of shoulder,neck and low back discomfort,and discharge anxiety scores of the observation group were lower than those of the control group,and the scores of comfort and discharge satisfaction were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Perioperative ERAS nursing in patients with chronic sinusitis can reduce preoperative thirst,hunger and postoperative discomfort in the shoulder,neck,and lower back,improve patients'perioperative anxiety,comfort and discharge satisfaction,and promote patients'rapid recovery.

关 键 词：鼻窦炎 围手术期护理 加速康复外科 舒适度 

分 类 号：R473.76[医药卫生—护理学]