加速康复外科干预措施对改善日间手术模式下肺结节患者恢复质量的效果

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摘要目的探讨加速康复外科(enhanced recovery after surgery, ERAS)干预措施对改善日间手术模式下肺结节患者恢复质量的效果。方法选取日间病房收治的肺结节手术患者105例,随机分为对照组和观察组,对照组实施常规护理方案,观察组采用ERAS干预措施。比较两组患者住院时间、相关并发症、满意度及术后恢复质量等。结果观察组患者伤口中重度疼痛发生率比对照组显著降低(P＜0.05),满意度比对照组高(P＜0.05);患者术后第1天,出院后第1、7、30天,观察组的QoR-15量表得分高于对照组(P＜0.01)。结论加速康复外科护理干预措施有助于改善日间手术模式下肺结节患者恢复质量,缓解患者术后疼痛症状、提高满意度。

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	王忠月
	把赛君
	徐璐
	谢元元
	韩璐

关键词 ：肺结节, 加速康复外科, 日间手术, 围手术期, 护理

Abstract：Objective To explore the effect of nursing intervention of enhanced recovery after surgery (ERAS) on improving the recovery quality of patients with pulmonary nodules under day-care surgery. Methods One hundred and five patients with pulmonary nodules treated in a third-grade class-A hospital in Nanjing were divided into a control group and an observation group according to nursing methods. Patients in the control group received a routine nursing scheme, while patients in the observation group were intervened by a nursing scheme of ERAS. The clinical value of the two groups was evaluated by comparing the basic preoperative data, length of hospital stay, related complications, satisfaction survey and postoperative recovery quality. Results The incidence of moderate and severe wound-pain in the observation group was significantly lower than that in the control group (P<0.05), while the satisfaction of the observation group was higher than that of the control group (P<0.05). On the 1st day after operation and the 1st, 7th, and 30th day after discharge, the QoR-15 scores of the observation group were higher than those of the control group (P<0.01). Conclusions The nursing intervention of ERAS is helpful to improve the recovery quality of patients with pulmonary nodules under day-care surgery, which can alleviate postoperative pain symptoms and improve patients satisfaction.

Key words： pulmonary nodule enhanced recovery after surgery day-care surgery perioperative period nursing

收稿日期: 2022-12-20

ZTFLH:

R473.6

基金资助:2020年度南京市卫生科技发展专项资金重点项目(ZKX20017)

通讯作者: 把赛君,E-mail:yinuo666@126.com

作者简介: 王忠月,本科学历,护师。

引用本文:

王忠月, 把赛君, 徐璐, 谢元元, 韩璐. 加速康复外科干预措施对改善日间手术模式下肺结节患者恢复质量的效果[J]. 武警医学, 2023, 34(6): 472-475. WANG Zhongyue, BA Saijun, XU Lu, XIE Yuanyuan, HAN Lu. Application effect of intervention of enhanced recovery after surgery on improving the recovery quality of patients with pulmonary nodules under day-care surgery. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(6): 472-475.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2023/V34/I6/472

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