基于医护一体化的ERAS模式在胸腹腔镜食管癌切除术患者围术期中的应用
Application of ERAS Model Based on Medical and Nursing Integration in the Perioperative Period of Patients Undergoing Thoracoscopic Esoph-ageal Cancer Resection
袁园 1朱敏 1吴传芹1
作者信息
- 1. 盐城市第一人民医院 江苏盐城 224000
- 折叠
摘要
目的:探讨基于医护一体化的快速康复外科(ERAS)模式在胸腹腔镜食管癌切除术患者围术期中的应用效果.方法:将 2021 年 2 月 1 日～2023 年 2 月 28 日收治的 428 例胸腹腔镜食管癌切除术患者按随机数字表法分为观察组和对照组各 214例,对照组采用常规护理干预,观察组采用基于医护一体化的ERAS模式进行干预.比较两组手术相关指标、疲乏症状[采用癌因性疲乏量表(CRF)]、生活质量[采用喉头颈部肿瘤生活质量量表(QLICP-HN)]、护理满意度及并发症发生率.结果:干预后,观察组术后拔管时间、总住院时间、术后首次进食时间、术后首次下床活动时间均短于对照组(P<0.05);干预后,两组CRF各方面评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);干预后,两组 QLICP-HN 各方面评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);干预后,观察组护理满意度高于对照组(P<0.05),并发症发生率低于对照组(P<0.05).结论:将基于医护一体化的ERAS模式用于胸腹腔镜食管癌切除术患者围术期护理中,可缩短患者术后恢复时间,减轻其癌因性疲乏,提高患者生活质量及护理满意度,减少并发症发生.
Abstract
Objective:To explore the effect of enhanced recovery after surgery(ERAS)model based on medical and nursing integration in the perioperative period of patients undergoing thoracoscopic and laparoscopic esophageal cancer resection.Methods:A total of 428 pa-tients who underwent thoracoscopic esophageal cancer resection from February 1,2021 to February 28,2023 were divided into the observa-tion group and the control group of 214 cases each according to the random number table method.The control group received routine nurs-ing intervention,the observation group used the ERAS model based on medical and nursing integration for intervention.Surgery-related in-dicators,fatigue symptoms using the cancer caused fatigue rating(CRF),quality of life instruments for cancer patients-head and neck canc-er(QLICP-HN),nursing satisfaction and incidence of complications were compared between the two groups.Results:After intervention,the postoperative extubation time,total hospitalization time,first postoperative meal time,and postoperative first ambulation time in the observa-tion group were shorter than those in the control group(P<0.05).After intervention,the CRF scores in both groups were shorter than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).After intervention,the QLICP-HN scores in both groups were higher than those before the intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).After intervention,the nursing satisfaction in the observation group was higher than that in the control group(P<0.05),and the incidence of complications was lower than that in the control group(P<0.05).Conclusion:Applica-tion of the ERAS model based on the integration of medical and nursing care in the perioperative care of patients undergoing thoracoscopic and laparoscopic esophageal cancer resection can shorten the patient's postoperative recovery time,reduce cancer-related fatigue,and im-prove the patient's quality of life and nursing satisfaction,and reduce complications.
关键词
食管癌/胸腹腔镜/食管癌切除术/医护一体化/快速康复外科Key words
Esophageal cancer/Thoraco-laparoscopic surgery/Esophageal cancer resection/Integrated medical care/Rapid recovery surgery引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据