基于加速康复外科理念的围手术期护理在不孕症腹腔镜日间手术患者中的应用效果

来源:用户上传      作者:谭鸿霞 文娟 宋悦龄

　　[摘要]目的探基于加速康复外科（ERAS）理念的围手术期护理在不孕症腹腔镜日间手术患者中的应用效果。方法选取2019年9月至2020年8月在广东省第二人民医院因不孕症入院行腹腔镜日间手术治疗的患者218例。按照不同的围手术期护理方式分为观察组（ n=116）和对照组（ n=102），观察组采用基于 ERAS 理念的围手术期护理方案，对照组采用常规护理方法。比较两组患者术后肛门排气时间、住院天数、住院费用、早期下床时间、术后饮食恢复时间、术后焦虑评分、对护理工作满意度及术后6 h 恶心、呕吐发生率和并发症总发生率。结果观察组术后肛门排气时间、住院天数、住院费用、早期下床时间、术后焦虑评分、术后饮食恢复时间及术后6 h 恶心、呕吐发生率和并发症总发生率均少于对照组，对护理工作满意度高于对照组，差异均有统计学意义（ P <0.05）。结论不孕症患者行腹腔镜日间手术采用基于 ERAS 理念的围手术期护理，有助于减少患者术后6 h 恶心、呕吐发生率，利于术后康复，缩短住院时间，降低住院费用，值得临床进行推广。
　　[关键词]不孕症;加速康复外科理念;腹腔镜;围手术期护理
　　[中图分类号] R473.7 [文献标识码] A [文章编号]2095-0616（2022）14-0011-04
　　Application effect of perioperative nursing based on the concept of enhanced recovery after surgery in daytime infertility patients undergoing laparoscopic surgery
　　TAN Hongxia WEN Juan SONG Yueling
　　Reproductive Medicine Center， Guangdong Second Provincial General Hospital， Guangdong， Guangzhou 510000， China
　　[Abstract] Objective To investigate the application effect of perioperative nursing based on the concept of enhanced recovery after surgery （ERAS） in daytime infertility patients undergoing laparoscopic surgery. Methods A total of 218 patients admitted to Guangdong Second Provincial General Hospital who underwent laparoscopic surgery for daytime infertility from September 2019 to August 2020 were selected as study subjects. According to different perioperative nursing methods， they were divided into the observation group （n=116） and the control group （n=102）. The observation group adopted the nursing scheme based on the concept of ERAS， while the control group adopted conventional nursing methods. The postoperative anal exhaust time， hospital stay， hospital cost， early time to ambulation， normal diet time， postoperative anxiety score， satisfaction with nursing care， the incidences of nausea and vomiting and total complications 6 hours after the operation were compared between the two groups. Results The postoperative anal exhaust time， hospital stay， hospital cost， early time to ambulation， postoperative anxiety score， normal diet time and the incidences of nausea and vomiting 6 hours after the operation and complications in the observation group were less or fewer than those in the control group， and the satisfaction with nursing care in the observation group was higher than that in the control group， all with statistically significant differences （P <0.05）. Conclusion The perioperative nursing based on the concept of ERAS in daytime infertility patients undergoing laparoscopic surgery is helpful to reduce the incidence of nausea and vomiting 6 hours after the operation， facilitate postoperative rehabilitation， shorten hospital stay and reduce hospital costs. Therefore， it is worthy of promotion in clinic.

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