妇儿健康导刊2024,Vol.3Issue(23) :131-135.

基于加速康复外科的手术室安全管理对成骨不全患儿可延长髓内钉固定术护理质量的影响

Impact of operating room safety management based on enhanced recovery after surgery on the nursing quality of extendable intramedullary nail fixation surgery for children with osteogenesis imperfecta

顾乐乐 胡素芳
妇儿健康导刊2024,Vol.3Issue(23) :131-135.

基于加速康复外科的手术室安全管理对成骨不全患儿可延长髓内钉固定术护理质量的影响

Impact of operating room safety management based on enhanced recovery after surgery on the nursing quality of extendable intramedullary nail fixation surgery for children with osteogenesis imperfecta

顾乐乐 1胡素芳1
扫码查看

作者信息

  • 1. 苏州大学附属儿童医院手术室,江苏 苏州 215000
  • 折叠

摘要

目的 探讨基于加速康复外科(ERAS)的手术室安全管理对成骨不全患儿可延长髓内钉固定术护理质量的影响.方法 选取苏州大学附属儿童医院 2023 年10 月至 2024年 2 月收治的 60 例行可延长髓内钉固定术治疗的成骨不全患儿作为研究对象,采用抽签法分为对照组与观察组,每组各30 例.对照组实施传统手术室护理,观察组在对照组基础上实施基于ERAS的手术室安全管理.比较两组生理应激指标、焦虑情绪及术中并发症、术后手术部位感染发生情况.结果 麻醉前,观察组生理应激指标低于对照组(P<0.05).麻醉前,观察组中文版改良耶鲁术前焦虑量表评分低于对照组(P<0.05).观察组术中并发症总发生率、术后手术部位感染发生率均低于对照组(P<0.05).结论 基于ERAS的手术室安全管理能够缓解可延长髓内钉固定术成骨不全患儿的生理应激反应与焦虑情绪,降低术中并发症发生率及术后手术部位感染发生率,值得推广.

Abstract

Objective To explore the impact of operating room safety management based on enhanced recovery after surgery(ERAS)on the nursing quality of extendable intramedullary nail fixation surgery for children with osteogenesis imperfecta.Methods Sixty children with osteogenesis imperfecta who underwent extendable intramedullary nail fixation surgery and were admitted to Children's Hospital of Soochow University from October 2023 to February 2024 were selected as the study objects.All the children were divided into the control group and the observation group using the lottery method,with 30 cases in each group.The control group received traditional operating room nursing,while the observation group received operating room safety management based on ERAS on the basis of the control group.The physiological stress indicators,anxiety emotions,and the incidence of intraoperative complications and postoperative surgical site infections were compared between the two groups.Results Before anesthesia,the physiological stress indicators in the observation group were lower than those in the control group(P<0.05).Before anesthesia,the Chinese version of the modified Yale preoperative anxiety scale score in the observation group was lower than that in the control group(P<0.05).The total incidence of intraoperative complications and postoperative surgical site infections in the observation group was lower than that in the control group(P<0.05).Conclusion The operating room safety management based on ERAS can alleviate the physiological stress response and anxiety emotions of children with osteogenesis imperfecta who undergo extendable intramedullary nail fixation surgery,reduce the incidence of intraoperative complications and postoperative surgical site infections,and is worthy of promotion.

关键词

加速康复外科/手术室安全管理/成骨不全/可延长髓内钉固定术

Key words

Enhanced recovery after surgery/Operating room safety management/Osteogenesis imperfecta/Extendable intramedullary nail fixation surgery

引用本文复制引用

出版年

2024
妇儿健康导刊
婚姻与家庭杂志社

妇儿健康导刊

ISSN:2097-115X
段落导航相关论文