摘要
目的探究混合痔手术患者围手术期接受基于加速康复外科(ERAS)的萧氏双C护理后对其围手术期相关指标及疼痛感受的影响。方法采用单中心、随机、单盲、平行对照的方法,选择安徽省安庆市立医院肛肠外科2019年8月至2020年8月接收的混合痔手术患者60例,按随机数字表法分为2组,每组30例,对照组采用常规围手术期护理,观察组采用基于ERAS的萧氏双C护理模式,比较2组围手术期指标,术后视觉模拟量表(VAS)评分、创面愈合评分,术后并发症及护理满意度情况。结果观察组患者首次排尿、排便及住院时间、住院费用分别为(5.78±1.38)h、(13.37±2.38)h、(7.32±0.72)d、(7337.84±524.99)元,均低于对照组的(6.48±1.26)h、(16.72±2.33)h、(8.85±0.93)d、(8689.54±688.34)元,差异有统计学意义(t值为2.052~8.552,P<0.01或0.05)。2组患者术后VAS评分、术后创面愈合评分的组间、时间、交互效应差异有统计学意义(F组间值为36.24、42.36,F时间值为256.71、377.42,F交互值为88.62、90.62,P<0.01)。2组患者术后并发症发生率比较差异无统计学意义(P>0.05)。观察组患者健康教育、服务可及性护理满意度得分分别为(94.37±2.92)、(95.11±3.85)分,高于对照组的(92.38±3.01)、(91.72±4.31)分,差异有统计学意义(t值为2.599、3.213,P<0.05)。结论基于ERAS的萧氏双C护理模式有助于降低混合痔手术患者首次排尿、排便及住院时间,加速创面愈合并减轻疼痛,护理满意度更高。
Objective To explore the effects of Xiao's double-C nursing mode based on enhanced recovery after surgery(ERAS)on perioperative related indexes and pain in patients undergoing mixed hemorrhoid surgery.Methods From August 2019 to August 2020,60 patients undergoing mixed hemorrhoid surgery who were admitted to anorectal surgery department of Anqing Municipal Hospital were enrolled as the research objects by single center,random,single blind and parallel control methods.They were divided into control group(routine perioperative nursing)and observation group(ERAS-based Xiao's double-C nursing mode)by random number table method,30 cases in each group.The perioperative indexes,scores of postoperative Visual Analogue Scale(VAS)and wound healing,postoperative complications and nursing satisfaction were compared between the two groups.Results The first urination time,defecation time,hospitalization time and hospitalization cost were(5.78±1.38)h,(13.37±2.38)h,(7.32±0.72)d and(7337.84±524.99)yuan in the observation group,and(6.48±1.26)h,(16.72±2.33)h,(8.85±0.93)d,(8689.54±688.34)yuan in the control group,and the differences were statistically significant(t values were 2.052-8.552,P<0.01 or 0.05).There were between-group,time and interaction differences in the scores of VAS and postoperative wound healing between the two groups(Fbetween-group values were 36.24,42.36,Ftime values were 256.71,377.42,Finteraction values were 88.62,90.62,P<0.01).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The scores of nursing satisfaction with health education and services accessibility were(94.37±2.92),(95.11±3.85)points in the observation group,and(92.38±3.01),(91.72±4.31)points in the control group,and the differences were statistically significant(t values were 2.599,3.213,P<0.05).Conclusions ERAS-based Xiao's double-C nursing mode is beneficial to shorten first defecation time,incision healing time and hospitalization time of patients undergoing mixed hemorrhoid surgery,accelerate wound healing and alleviate pain,with higher nursing satisfaction.
作者
谭启芬
王祥琨
潘力生
Tan Qifen;Wang Xiangkun;Pan Lisheng(Department of Anorectal Surgery,Anqing Municipal Hospital,Anqing 246000,China)
出处
《中国实用护理杂志》
2021年第20期1534-1539,共6页
Chinese Journal of Practical Nursing
基金
安徽医科大学校科研基金(2019xkj232)。
关键词
围手术期护理
快速康复外科
混合痔
萧氏双C护理模式
Perioperative nursing
Enhanced recovery after surgery
Mixed hemorrhoid
Xiao's double-C nursing mode
