快速康复护理路径在肝包虫病患者围手术期管理中的应用

来源 :中华现代护理杂志 | 被引量 : 0次 | 上传用户:qwerty_123asd
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:探讨快速康复护理路径在肝包虫手术患者术后快速康复中的应用效果。方法:采用单纯随机抽样法,选取西藏自治区山南市人民医院2017年11月—2019年2月收治的160例肝包虫手术患者为研究对象,随机分为试验组和对照组,每组80例。对照组患者采用普外科常规护理,试验组在常规护理基础上施行快速康复护理路径护理。比较两组患者术后康复指标、疼痛评分和术后并发症情况。结果:试验组组患者的首次排气、排便时间为(3.77±3.05)、(23.81±17.29) h,早于对照组的(13.27±8.58)、(37.79±18.23) h,差异有统计学意义(n t值分别为4.265、4.975;n P<0.01);试验组术后2、4、8、24 h疼痛评分(1.08±1.04)、(1.61±0.85)、(1.13±0.70)、(0.26±0.41)分,低于对照组的(2.41±1.20)、(2.94±0.96)、(2.94±0.96)、(1.33±0.90)分,差异具有统计学意义(n t值分别为7.501、9.250、13.650、-8.720;n P<0.01)。术后试验组发生肺部感染2例(2.50%),对照组发生13例(16.25%),试验组发生率低于对照组,差异有统计学意义(χn 2=8.901,n P<0.01)。n 结论:基于快速康复护理路径的标准化护理模式有利于肝包虫病患者术后康复,缩短住院时间,减少术后肺部感染,值得进一步推广。“,”Objective:To explore the effect of enhanced recovery nursing pathway in the enhanced recovery after surgery of perioperative patients with hepatic echinococcosis.Methods:From November 2017 to February 2019, simple random sampling was used to select 160 hepatic echinococcosis patients with surgery admitted to Shannan People's Hospital of Tibet Autonomous Region as the research object. Patients were randomly divided into experimental group and control group, 80 cases in each group. Patients in control group received general surgical routine nursing, and experimental group carried out enhanced recovery nursing pathway on the basis of routine nursing. The postoperative rehabilitation indicators, pain scores and postoperative complications were compared between the two groups.Results:The time of first exhaust time and defecation in experimental group was (3.77±3.05) h and (23.81±17.29) h, which was earlier than (13.27±8.58) h and (37.79±18.23) h in control group, and the differences were statistically significant (n t=4.265, 4.975; n P<0.01) . The pain scores of experimental group at 2, 4, 8, and 24 hours after surgery were (1.08±1.04) , (1.61±0.85) , (1.13±0.70) and (0.26±0.41) lower than those [ (2.41±1.20) , (2.94±0.96) , (2.94±0.96) , (1.33±0.90) ]of control group, and the differences were statistically significant (n t=7.501, 9.250, 13.650, -8.720; n P<0.01) . There were 2 cases (2.50%) of lung infection in experimental group and 13 cases (16.25%) in control group. The incidence in experimental group was lower than that in control group, and the difference was statistically significant (χn 2=8.901, n P<0.01) .n Conclusions:The standardized nursing model based on the enhanced recovery nursing pathway is conducive to the postoperative rehabilitation of patients with hepatic echinococcosis, shortens the hospital stay, and reduces postoperative lung infection complications, which is worthy of further promotion.
其他文献
  目的:探讨游离游背阔肌皮瓣转位修复胫前区皮肤软组织缺损的护理要点。方法:回顾性分析2009年1月-2010年4月我科收治12例小腿皮肤软组织缺损患者,男9例,女3例,年龄18-69岁,术前
会议
以易裂荔枝品种糯米糍为材料,研究了果实发育前期( 即果皮发育期) 裂果与正常果、裂果多与裂果少的植株果实内源激素变化,结果表明,在果实发育前期果皮中的细胞分裂素(CTK) 、生长素(IAA) 含
  目的:探讨拇甲瓣再造拇指术后血液循环的观察及护理的方法。方法:对2005年5月-2009年5月,5例患者行拇甲瓣移植再造手术术后加强心理护理;控制好病室温度及湿度,并定时进行空
会议
  目的:对人工髋关节置换术后下肢深静脉血栓的预防实施护理措施干预。方法:对102例人工髋关节置换术患者进行术前评估、认知干预、饮食护理、功能指导、预防性治疗、机械预
荔枝的主要害虫有荔枝蝽蟓(TesaratomapapilosaDrury),荔枝蒂蛀虫(Conopo-morphasinensis),荔枝龟背天牛(AristobiafestudoVoet),荔枝叶瘿蚊(Dasineurasp.),荔枝瘿螨(EriophyeslitchiKeifer)等。果农采用的防治方法包括农业防治、生物防治、化学防治等,国内外目前仍依赖化学防治。荔枝的主要害虫
  目的:回顾对45例皮瓣移植修复小腿及足踝部皮肤缺损患者的术前、术后特点,探讨有效的护理方法。方法:对45例小腿及足踝部皮肤缺损伴骨或肌腱等组织外露,皮瓣修复风险较大有失
会议
  目的:通过对46例颈椎病围手术期患者的临床观察、治疗、康复护理及疗效随访,评定颈部及四肢的功能康复情况。方法:分析46例颈椎病围手术期患者的心理特点、生理特点,有针对性
国外科学家已通过未授粉子房培养和辐射花粉授粉子房培养获得黄瓜单倍体植株,并已用于黄瓜遗传育种实践。国内未见获得黄瓜单倍体的报道,鉴于单倍体对遗传育种的重要性,笔者在参
要:为了解决塑料地膜对土壤的污染,研究了腐植酸有机地膜在花生种植上的应用效果.结果表明:与喷等量清水相比,腐植酸有机地膜和塑料地膜一样可以显著提高5、10、15 cm土层温
  目的:探讨小夹板固定配合皮套悬吊牵引治疗小儿股骨干骨折的疗效及预后。方法:病例来自我科2009年7月2010年7月股骨干骨折患儿12例,采用小夹板固定配合皮套悬吊牵引治疗,后期