快速康复外科护理在达芬奇机器人辅助腹腔镜下肾上腺嗜铬细胞瘤切除术患者围手术期的应用  

Application of Enhanced Recovery After Surgery Nursing in Patients Undergoing Adrenal Pheochromocytoma Resection with Da Vinci Robot-Assisted Laparoscopy

作　　者：官俊杰[1] 邓淑芳 GUAN Junjie;DENG Shufang(Department of Urology,The First Affiliated Hospital of Xiamen University,Xiamen 361001,China)

机构地区：[1]厦门大学附属第一医院泌尿外科,厦门361001

出　　处：《中国医药指南》2024年第35期102-104,共3页Guide of China Medicine

摘　　要：目的探讨快速康复外科(FTS)护理在达芬奇机器人辅助腹腔镜下肾上腺嗜铬细胞瘤切除术患者围手术期的应用。方法选取2022年1月—9月厦门大学附属第一医院收治的48例肾上腺嗜铬细胞瘤患者,以随机数字表法分成两组,每组24例。对照组实施常规护理,研究组在常规护理的基础上基于FTS护理理论进行护理干预。比较两组护理干预前后的不良情绪评分(SAS和SDS评分)、血压水平、心率及睡眠障碍[匹兹堡睡眠质量指数(PSQI)]程度,统计并发症及满意度。结果干预后,两组SAS和SDS评分、收缩压和舒张压、心率、PSQI评分均较干预前下降,且研究组均低于对照组(P<0.05)。研究组围手术期并发症总发生率为4.17%,低于对照组的33.33%(P<0.05)。与对照组比较,研究组满意度更高(P<0.05)。结论肾上腺嗜铬细胞瘤患者围手术期采用FTS理论实施干预,可缓解患者的不良情绪,控制血压水平及心率水平的稳定,减轻睡眠障碍的严重程度,减少围手术期并发症的发生,提升患者对于护理的满意度。Objective To explore the application of Enhanced Recovery After Surgery(ERAS)nursing in the perioperative period of patients undergoing adrenal pheochromocytoma resection with Da Vinci robot-assisted laparoscopy.Methods A total of 48 patients with adrenal pheochromocytoma admitted to The First Affiliated Hospital of Xiamen University from January 2022 to September 2022 were selected and randomly divided into two groups,each with 24 cases.The control group received routine nursing,while the study group received nursing intervention based on ERAS theory in addition to routine nursing.The adverse emotional scores(SAS and SDS scores),blood pressure levels,heart rate,and sleep disturbance[Pittsburgh Sleep Quality Index(PSQI)]levels were compared before and after nursing intervention between the two groups,and complications and satisfaction were statistically analyzed.Results After intervention,the SAS and SDS scores,systolic and diastolic blood pressure,heart rate,and PSQI scores in both groups decreased compared to before intervention,and all were lower in the study group than in the control group(P<0.05).The overall incidence of perioperative complications in the study group was 4.17%,lower than the control group’s 33.33%(P<0.05).Compared with the control group,the study group had higher satisfaction(P<0.05).Conclusions The application of ERAS theory in the perioperative period for patients with adrenal pheochromocytoma can alleviate adverse emotions,control blood pressure and heart rate stability,reduce the severity of sleep disturbances,decrease the occurrence of perioperative complications,and improve patient satisfaction with nursing care.

关 键 词：肾上腺嗜铬细胞瘤 快速康复外科护理 围手术期 不良情绪 睡眠障碍 

分 类 号：R737.11[医药卫生—肿瘤] R473.73[医药卫生—临床医学]