基于RoSCo评分系统的早期下床活动时机在肾部分切除术患者中的应用  

Application of early ambulation time based on the RoSCo scoring system in patients undergoing partial nephrectomy

作　　者：张益曼 赵桃月 褚凝萍 Zhang Yiman;Zhao Taoyue;Chu Ningping(Nursing Department,The Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院护理部,浙江杭州310009 [2]浙江大学医学院附属第二医院泌尿外科,浙江杭州310009

出　　处：《护理学杂志》2023年第24期84-87,共4页Journal of Nursing Science

摘　　要：目的 探讨基于RoSCo评分系统的早期下床活动时机在肾部分切除术患者中的应用效果。方法 将108例肾部分切除术患者按照住院时间分为对照组53例和试验组55例。对照组采用常规加速康复外科理念下的早期下床活动,根据患者术后意识、生命体征、疼痛、引流液量等评估结果决定下床活动时机,试验组在对照组的基础上术前基于RoSCo评分系统的手术并发症风险等级综合确定术后早期下床活动时机。结果 试验组术后首次下床活动时间、首次排气时间、术后住院时间显著短于对照组(均P<0.05),两组术后并发症及30 d内再入院率差异无统计学意义(均P>0.05)。结论 基于RoSCo评分系统确定早期下床活动时机有利于促进肾部分切除术后患者快速康复,且不增加手术并发症的发生率及非计划性再入院率。Objective To explore the application effect of early ambulation time based on the RoSCo scoring system in patients undergoing partial nephrectomy.Methods A total of 108 patients undergoing partial nephrectomy were divided into a control group(n=53) and an intervention group(n=55) chronologically.The control group implemented conventional postoperative early ambulation guided by the conception of enhanced recovery after surgery,and their early ambulation time was determined by the assessment results of their postoperative consciousness,vital signs,pain,volume of drainage fluid,etc.,while the intervention group was additionally assessed the risk level of surgical complications before operation using the RoSCo scoring system to comprehensively identify their early ambulation time.Results The first postoperative ambulation time,the time of first flatus,and length of postoperative hospitalization of the intervention group were statistically significant shorter than those of the control group(all P<0.05),and there were not statistically significant differences in postoperative complications and readmission rates within 30 days between the two groups(both P>0.05).Conclusion Application of the early ambulation time based on the RoSCo scoring system is conducive to promoting enhanced recovery of patients after partial nephrectomy,and it does not add the rates of surgical complications or unplanned readmissions.

关 键 词：肾肿瘤 肾部分切除术 RoSCo评分系统 达芬奇机器人 早期下床活动 时机 加速康复外科护理 

分 类 号：R473.6[医药卫生—护理学]