摘要
目的探讨基于加速康复外科(ERAS)理念改良的围手术期饮食管理模式在全髋关节置换术(THA)患者中应用的临床效果。方法采用便利抽样法,选取2020年5月—2022年5月于郑州大学第一附属医院接受初次单侧THA的320例患者,按照随机数字表法分为对照组(n=160)和观察组(n=160)。对照组采用常规围手术期饮食管理方案,观察组基于ERAS理念改良的围手术期饮食管理模式,护士根据方案行术前禁食禁饮和术后饮食饮水护理工作。比较两组患者的术前饥饿感、口渴感,记录两组术后肛门排气和排便时间、肠鸣音恢复时间、术后恶心呕吐程度及进食后恶心呕吐程度等胃肠道功能情况。结果观察组术前饥饿、术前口渴患者例数均少于对照组,术后排气时间、术后排便时间、肠鸣音恢复时间均短于对照组,术后进食后恶心呕吐程度低于对照组,差异均有统计学意义(P<0.05)。结论基于ERAS理念改良的围手术期饮食管理模式应用在THA患者中具有良好的临床效果,能减轻患者围手术期不适感,促进术后胃肠道功能恢复。
Objective To explore the effects of an improved perioperative diet management based on the concept of enhanced recovery after surgery(ERAS)in patients undergoing total hip arthroplasty(THA).MethodsFrom May 2020 to May 2022,convenience sampling was used to select 320 patients who underwent their first unilateral THA at the First Affiliated Hospital of Zhengzhou University.According to the random number table method,patients were divided into control group(n=160)and observation group(n=160).The control group adopted a routine perioperative diet management,while the observation group improved the perioperative diet management based on the ERAS concept,and nurses performed preoperative fasting and postoperative diet and drinking water nursing according to the plan.We compared the preoperative hunger and thirst between two groups of patients,and recorded the gastrointestinal function such as postoperative anal exhaust and defecation time,bowel sound recovery time,postoperative nausea and vomiting degree,and post eating nausea and vomiting degree between the two groups.ResultsThe number of preoperative hunger and thirst patients in the observation group was less than that in the control group,and the postoperative exhaust time,defecation time,and bowel sound recovery time were shorter than those in the control group(P<0.05).The degree of nausea and vomiting after eating after surgery was lower than that in the control group.The differences were all statistically significant(P<0.05).ConclusionsThe improved perioperative diet management based on ERAS has good clinical effects in THA patients,reducing perioperative discomfort and promoting postoperative gastrointestinal function recovery.
作者
薛璞
徐慧萍
翟雅雅
郭彩娟
李晓娟
Xue Pu;Xu Huiping;Zhai Yaya;Guo Caijuan;Li Xiaojuan(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 453000,China)
出处
《中华现代护理杂志》
2023年第20期2734-2737,共4页
Chinese Journal of Modern Nursing
基金
河南省医学科技攻关计划联合共建项目(SBGJ202003030)。
关键词
围手术期护理
全髋关节置换术
加速康复外科
饮食管理
Perioperative nursing
Total hip arthroplasty
Enhanced recovery after surgery
Diet management
