ERAS理念下手术室护理对腹腔镜肝切除术患者围手术期护理的影响  

Effect of operating room nursing on perioperative nursing of patients undergoing laparoscopic hepatectomy under enhanced recovery after surgery concept

作　　者：胡廙笑 江振辉 王巧玲 吴晓红 HU Yixiao;JIANG Zhenhui;WANG Qiaoling;WU Xiaohong(Operating Room,Huangshan City People’s Hospital,Anhui Province,Huangshan 245000,China)

机构地区：[1]安徽省黄山市人民医院手术室,安徽黄山245000

出　　处：《中国医药导报》2024年第12期132-135,160,共5页China Medical Herald

基　　金：安徽省卫生健康委员会科研项目(AHWJ2021b125)。

摘　　要：目的 探讨加速康复外科(ERAS)理念下手术室护理对腹腔镜肝切除术患者围手术期护理的影响。方法 选取2021年1月至2022年12月安徽省黄山市人民医收治的腹腔镜肝切除术患者82例进行前瞻性研究,按随机数字表法将其分为对照组和干预组,每组41例。对照组应用常规护理干预,干预组接受ERAS理念下的手术室护理。比较两组围手术期相关指标、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、视觉模拟评分法(VAS)评分及依从性评分情况,并对两组术后并发症进行统计。结果 干预组手术、拔管、意识恢复、进食、胃肠恢复、下床、住院时间短于对照组,术中出血量少于对照组(P<0.05)。整体分析发现:两组术中体温组间比较、时间点比较及交互作用比较,差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组手术各时间点体温比较,差异有统计学意义(P<0.05);组间比较:干预组手术15、30 min,以及手术结束时体温低于对照组(P<0.05)。干预后,两组SAS、SDS、VAS评分低于干预前,且干预组均低于对照组(P<0.05)。干预后,两组运动、感知、用药及饮食评分高于干预前,且干预组高于对照组(P<0.05)。干预组并发症总发生率低于对照组(P<0.05)。结论 ERAS理念下的手术室护理对腹腔镜肝切除术患者的围手术期相关指标、焦虑抑郁情绪及依从性均具有明显的改善作用,可明显降低其术后并发症,值得推广。Objective To investigate the influence of operating room nursing on perioperative nursing of patients undergoing laparoscopic hepatectomy under enhanced recovery after surgery(ERAS) concept.Methods A total of 82 patients with laparoscopic hepatectomy in Huangshan City People's Hospital,Anhui Province from January 2021 to December 2022 were selected for a prospective study,and they were divided into control group and intervention group according to random number table method,with 41 cases in each group.The control group received routine nursing intervention,and the intervention group received operating room nursing under ERAS concept.Perioperative indicators,self-rating depression scale(SDS) score,self-rating anxiety scale(SAS) score,visual analogue scale(VAS) score,and compliance score were compared between the two groups,and postoperative complications were statistically analyzed.Results The duration of operation,extubation,consciousness recovery,feeding,gastrointestinal recovery,getting out of bed,and hospitalization in the intervention group were shorter than those in the control group,and the intraoperative blood loss was less than that in the con trol group(P<0.05).The overall analysis showed that there were statistically significant differences in intraoperative body temperature,time point and interaction between the two groups(P<0.05).Further pairwise comparison and intra-group comparison:the temperature of the two groups at each time point of operation was compared,and the difference was statistically significant(P<0.05).Comparison between groups:the body temperature of intervention group was lower than that of control group at 15 min and 30 min after operation(P<0.05).After intervention,the scores of SAS,SDS,and VAS in both groups were lower than those before intervention,and the scores in intervention group were lower than those in control group(P<0.05).After intervention,the scores of exercise,perception,medication,and diet in two groups were higher than those before intervention,and the scores in inte

关 键 词：加速康复外科 手术室护理 腹腔镜肝切除术 围手术期护理 

分 类 号：R473[医药卫生—护理学]