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基于ERAS的人本位护理在凶险性前置胎盘手术患者中的应用效果

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目的 探讨基于加速康复外科(ERAS)的人本位护理在凶险性前置胎盘手术患者中的应用效果。方法 按照入院时间段进行分组,选择桂林市妇幼保健院2019 年1 月至2021 年3 月收治的38 例凶险性前置胎盘患者作为对照组,给予常规护理干预;2021 年 4 月至 2023 年 6 月收治的 38 例凶险性前置胎盘患者作为观察组,给予基于ERAS的人本位护理干预。记录和分析两组术后疼痛评分、并发症发生率、卧床时间、住院时间等情况。结果 观察组术后疼痛评分显著低于对照组,差异有统计学意义(P<0。05);观察组术后恶心呕吐、切口感染、尿潴留等并发症发生率低于对照组(P<0。05);观察组术后卧床时间、住院时间均短于对照组(P<0。05)。结论 基于ERAS的人本位护理可减轻凶险性前置胎盘患者术后疼痛,促进患者术后康复,以及减少术后并发症的发生,具有应用推广价值。
Application effects of patient-centered nursing based on enhanced recovery after surgery in the perioperative period of dangerous placenta previa
Objective To investigate the application effects of patient-centered nursing based on enhanced recovery after surgery(ERAS)in perioperative peried of dargerous placenta previa.Methods Patients were grouped according to admission time periods.38 cases of dangerous placenta previa patients admitted to the Guilin Maternal and Child Health Hospital from January 2019 to March 2021 were selected as the control group and received routine nursing interventions.38 cases of dangerous placenta previa patients admitted from April 2021 to June 2023 were selected as the observation group and received patient-centered nursing interventions based on ERAS.Postoperative pain scores,complication rates,bed rest time,and length of hospital stay were recorded and analyzed for both groups.Results The postoperative pain scores in the observation group were significantly lower than those in the control group,showing a statistical significance difference(P<0.05).The observation group had lower rates of postoperative nausea and vomiting,incision infection,and urinary retention compared to the control group(P<0.05).The observation group also had shorter bed rest time and hospital stay compared to the control group(P<0.05).Conclusion Patient-centered nursing based on ERAS can alleviate postoperative pain in patients undergoing dangerous placenta previa,promote postoperative recovery,and reduce the occurrence of postoperative complications,thereby demonstrating valuable application prospects.

enhanced recovery after surgeryhumanistic nursingdangerous placenta previaperioperative period

文艳林、曾庆清、吕小娟、罗金华

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桂林市妇幼保健院,桂林 541001

加速康复外科 人本位护理 凶险性前置胎盘 围手术期

广西壮族自治区卫生健康委员会自筹经费科研课题

Z20210736

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(4)