摘要
目的:观察多学科团队(MDT)合作快速康复外科(ERAS)理念在腹腔镜腹股沟疝修补术围术期护理中的应用效果。方法:回顾性分析2017年8月—2019年8月行腹腔镜腹股沟疝修补术治疗的134例患者的临床资料,根据临床护理干预方法不同分为对照组和观察组,每组67例。对照组围术期行常规护理干预,观察组行MDT合作ERAS理念护理干预。观察两组肠胃功能恢复、术后首次下床时间、住院时间、疼痛程度。结果:观察组术后首次排气时间、进食时间、术后首次下床时间及住院时间均低于对照组,差异有统计学意义(P<0.05);观察组术后第1 d,3 d,5 d视觉模拟评估量表(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。结论:将MDT合作ERAS理念应用于腹腔镜腹股沟疝修补术围术期护理中,可加快患者术后康复进程,促进肠胃功能恢复,缩短住院时间。
Objective:To observe the application effect of multidisciplinary team(MDT) combined with enhanced recovery after surgery(ERAS) concept in perioperative nursing of laparoscopic inguinal hernia repair.Methods:The clinical data of 134 patients with laparoscopic inguinal hernia repair in the hospital from August 2017 to November 2018 were retrospectively analyzed.All patients were divided into control group and observation group according to clinical nursing intervention methods,with 67 cases in each group.Control group took perioperative routine nursing intervention,while observation group was given MDT and ERAS nursing intervention.The gastrointestinal function recovery,postoperative first off-bed time,hospital stays,pain degree of the two group were observed.Results:The postoperative first exhaust time,feeding time,postoperative first off-bed time and hospital stays in control group were higher than those in observation group(P<0.05);The scores of postoperative 1 d,3 d and 5 d visual analogue scale(VAS) in control group were higher than those in observation group(P<0.05).Conclusion:MDT combined with ERAS concept in perioperative nursing of laparoscopic inguinal hernia repair can accelerate postoperative recovery,promote gastrointestinal function recovery,and shorten hospital stays.
作者
郭凤仙
GUO Fengxian(Dengfeng People′s Hospital,Dengfeng 452470,China)
出处
《临床医药实践》
2020年第8期636-637,640,共3页
Proceeding of Clinical Medicine
关键词
腹股沟疝
腹腔镜修补术
多学科团队
快速康复外科理念
围术期护理
inguinal hernia
laparoscopic repair
multidisciplinary team
fast-track surgery or enhanced recovery after surgery concept
perioperative nursing
