首页|基于MDT的ERAS护理对PCNL患者护理效果及并发症的影响

基于MDT的ERAS护理对PCNL患者护理效果及并发症的影响

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目的:探讨基于多学科诊疗模式(MDT)的快速康复外科(ERAS)护理对经皮肾镜取石术(PCNL)患者护理效果及并发症的影响。方法:选取 2019 年1 月1 日~2020 年9 月30 日收治的40 例PCNL患者作为对照组,围术期采用常规护理;选取2020年 10 月 1 日~2022 年 5 月 31 日收治的 40 例PCNL患者作为观察组,围术期采用基于 MDT 的ERAS护理。比较两组护理效果及并发症情况。结果:观察组健康教育知晓率高于对照组(P<0。05),术后首次排气时间、术后首次下床活动时间、住院时间均短于对照组(P<0。01);观察组术后感染、出血、腹腔积液等并发症总发生率低于对照组(P<0。05);观察组就医体验高于对照组(P<0。01)。结论:基于MDT的ERAS护理能够加快 PCNL 患者的术后康复,并在一定程度上减少术后并发症,提高患者的就医体验。
Effect of ERAS Nursing Based on MDT on Nursing Effect and Complications in PCNL Patients
Objective:To explore the effect of enhanced recovery after surgery(ERAS)nursing based on multidisciplinary diagnosis and treatment model(MDT)on the nursing effect and complications in undergoing percutaneous nephrolithotomy(PCNL)patients.Methods:A total of 40 patients with PCNL admitted from January 1,2019 to September 30,2020 were selected as the control group,and routine nursing was adopted during the perioperative period.Forty PCNL patients admitted from October 1,2020 to May 31,2022 were selected as the ob-servation group,and use ERAS nursing based on MDT during the perioperative period.The nursing effect and complications of the two groups were compared.Results:The awareness rate of health education in the observation group was higher than that in the control group(P<0.05),and the first postoperative exhaust time,the first ambulation time and hospital stay were shorter than those in the control group(P<0.01).The complications such as postoperative infection,bleeding and peritoneal effusion in the observation group were lower than those in the control group(P<0.05).The medical experience in the observation group was higher than that in the control group(P<0.01).Conclusion:ERAS nursing based on MDT can accelerate the postoperative rehabilitation of PCNL patients,reduce postoperative complica-tions to a certain extent and improve the medical experience of patients.

MDTERASPCNLNursing effect

杨林英、肖素红、于田强

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浙江省荣军医院 浙江嘉兴 314001

多学科诊疗 快速康复外科 经皮肾镜取石术 护理效果

嘉兴市科技计划项目

2021AD30077

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(2)
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