基于ERAS理念的护理在内镜黏膜切除术中的效果分析  

Analysis of the effectiveness of ERAS concept-based care in endoscopic mucosal resection

作　　者：王彩霞[1] 赵苏楠 张洁[1] WANG Caixia;ZHAO Sunan;ZHANG Jie(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,China)

机构地区：[1]郑州大学第一附属医院,河南省郑州市450000

出　　处：《护理实践与研究》2023年第7期1076-1080,共5页Nursing Practice and Research

基　　金：河南省科技创新杰出人才项目(编号:184200410020)。

摘　　要：目的探讨基于加速康复外科(ERAS)理念联合人文关怀护理在内镜黏膜切除术(EMR)患者中的应用效果。方法选取医院2021年1月—2022年1月收治的103例行EMR治疗的患者为研究对象,依据患者基本资料具有可比性的原则分为对照组42例和观察组61例。对照组采用常规人文关怀护理,观察组在对照组基础上接受ERAS理念护理模式。比较两组患者一般临床指标、干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、世界卫生组织生活质量测定量表简表(WHOQOL-BREF)评分及患者对护理满意程度。结果护理干预后,观察组置管时间、首次进食时间、术后排便时间、首次下床时间、平均住院时间短于对照组,NRS评分低于对照组,组间比较差异有统计学意义(P<0.05);护理干预后,两组患者WHOQOL-BREF量表各项评分均明显上升且观察组高于对照组,组间比较差异有统计学意义(P<0.05);两组患者SAS、SDS量表评分均下降且观察组低于对照组,组间比较差异有统计学意义(P<0.05)。护理干预后,观察组患者对护理满意程度高于对照组,组间比较差异有统计学意义(P<0.05)。结论将ERAS理念联合人文关怀护理应用在EMR患者中效果理想,能够明显提高患者术后生存质量、改善不良情绪,提高护理满意水平。Objective To explore the effectiveness of nursing care based on the concept of enhanced recovery after surgery(ERAS)concept combined with humanistic care in endoscopic mucosal resection(EMR).Methods 103 patients treated with EMR from January 2021 to January 2022 were selected for the study.The patients were divided into 42 cases in the control group and 61 cases in the observation group based on the principle of comparability of basic information.In the control group,the patients were treated with conventional intervention.In the control group,the patients received the ERAS concept of care on the basis of the control group.The two groups were compared in terms of general clinical indicators,Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),World Health Organization Quality of Life Scale(WHOQOL-BREF)scores and patients'satisfaction of nursing care.Results After the nursing intervention,the observation group had shorter time of tube placement,time of first feeding,time of first postoperative bowel movement,time of first getting out of bed and mean length of stay than the control group,and the NRS scores were lower than the control group.After the nursing intervention,the scores on the WHOQOL-BREF scale increased significantly in both groups and were higher in the observation group than in the control group,with a statistically significant difference between the two groups(P<0.05).After the nursing intervention,the patients in the observation group were more satisfied with the nursing care than the control group,the difference between the groups was statistically significant(P<0.05).Conclusion The application of the ERAS concept combined with humanistic care in EMR patients is effective and can significantly improve the quality of patients'postoperative survival,improve adverse emotions and increase the level of nursing satisfaction.

关 键 词：加速康复外科理念 人文关怀 内镜黏膜切除术 护理 效果 

分 类 号：R473.5[医药卫生—护理学]