摘要
目的探究基于加速康复外科(ERAS)理念的护理专案对缺血性脑卒中患者介入治疗围术期的护理效果。方法选取聊城市人民医院2018年10月至2020年9月收治的80例缺血性脑卒中患者,按随机数字表法分为两组,观察组40例给予基于ERAS理念的护理专案,对照组40例给予常规措施。比较两组患者手术时间、手术出血量、住院时间以及住院费用;采用脑卒中影响量表(SIS)评估两组患者生活质量水平,比较两组并发症发生情况及护理满意度。结果观察组手术时间、手术出血量与对照组相比,差异无统计学意义(P>0.05),但住院时间、住院费用均明显低于对照组,差异有统计学意义(P<0.05)。护理1个月、3个月后,观察组SIS评分均高于对照组,差异有统计学意义(P<0.05)。观察组下肢深静脉血栓、压力性损伤、营养不良、肺部感染、尿潴留、二次卒中发生率均低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论将ERAS理念融入脑卒中患者的围术期临床护理措施中,能够缩短住院时间,促进术后快速康复,提高护理满意度。
Objective To explore the nursing effect of the nursing project based on the concept of enhanced recovery after surgery(ERAS)in the perioperative period of interventional treatment of patients with ischemic stroke.Methods A total of 80 patients with ischemic stroke admitted to Liaocheng People's Hospital from October 2018 to September 2020 were selected and divided into two groups according to random number table method.Forty patients in the observation group received a nursing program based on ERAS concept,and 40 patients in the control group received routine measures.The time of operation,operative blood loss,hospitalization time and hospitalization cost were compared between the two groups.Stroke Impact Scale(SIS)was used to evaluate the quality of life of patients in the two groups,and the incidence of complications and nursing satisfaction between the two groups were compared.Results There was no significant difference between the observation group and the control group in operation time and bleeding volume(P>0.05),but the hospitalization time and hospitalization cost were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).After 1 month and 3 months of nursing,SIS of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of deep venous thrombosis,pressure ulcer,malnutrition,pulmonary infection,urinary retention,and two stroke incidence in the observation group were lower than those in the control group.The nursing satisfaction of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Conclusions Incorporating ERAS concepts into perioperative clinical care measures for stroke patients can shorten hospitalization time,promote rapid postoperative recovery,and improve nursing satisfaction.
作者
陆海霞
刘凤芹
刘冬华
Lu Haixia;Liu Fengqin;Liu Donghua(Liaocheng People's Hospital,252000,China)
出处
《国际护理学杂志》
2022年第13期2404-2407,共4页
international journal of nursing
基金
泰山医学院教育教学研究课题(XY2018120)。
关键词
快速康复外科理念
急性缺血性脑卒中
围术期
护理方案
介入治疗
Concept of fast track surgery
Acute ischemic stroke
Perioperative period
Nursing plan
Interventional therapy
