摘要
目的:探讨加速康复外科(ERAS)护理理念应用于da Vinci机器人手术辅助下子宫内膜癌根治术围手术期的临床应用价值。方法:选取2017年6月1日至2018年12月1日在第四军医大学西京医院妇产科收治的子宫内膜癌患者144例,均行机器人辅助下子宫内膜癌根治术,按随机数字表法分为ERAS组(72例)和传统护理组(72例)。传统护理组患者接受常规护理,ERAS组患者在常规护理的同时接受ERAS护理干预。比较两组术后康复、术后并发症发生及主观感受等指标。结果:ERAS组患者首次下床活动时间、排气及排便时间、术后平均住院时间均短于传统护理组,术后24 h视觉模拟量表(VAS)评分低于传统护理组(均P<0.05);ERAS组患者对住院期间护理满意度明显高于传统护理组(P<0.05)。结论:ERAS护理在da Vinci机器人辅助下子宫内膜癌根治术的围手术期应用,可以促进患者术后快速康复,缩短住院时间,有效提升护理质量,值得推广应用。
Objective: To evaluate the clinical value of enhanced recovery after surgery(ERAS) theory application in endometrial cancer patients who received robotic-assisted laparoscopic surgery. Methods: 144 patients with endometrial cancer undergoing robotic-assisted laparoscopic surgery were randomized to ERAS group and conventional nursing group,with 72 cases in each group.ERAS concept was adopted in ERAS group during the daily care,while the conventional perioperative nursing procedures were used in conventional nursing group.Postoperative rehabilitation,postoperative complications and subjective feelings were analyzed and compared. Results: In ERAS group,the time of the first time to get out of bed,the time of exhaust and defecation,and postoperative hospital days were shorter than those in the conventional nursing group,and the visual analogue scale(VAS) score after 24 h of operation was lower( P <0.05).The satisfaction rate of nursing care during hospitalization in ERAS group was significantly higher than that in conventional nursing group( P <0.05). Conclusion: ERAS nursing care is safe and feasible for endometrial cancer patients who underwent robotic-assisted laparoscopic surgery.It can promote the recovery of patients,reduce postoperative hospital days,and enhance the quality of nursing care.
作者
赵依芳
卓娜
周妮妮
张红菊
Zhao Yifang;Zhuo Na;Zhou Nini;Zhang Hongju(Department of Gynecology and Obstetric,Xijing Hospital of The Forth Military Medical University,Xi’an 710032,China)
出处
《广西医科大学学报》
CAS
2019年第8期1378-1383,共6页
Journal of Guangxi Medical University
基金
西京医院临床高新技术基金资助项目(No.XJGX13LZ04)
