首页|基于ERAS理念的分级护理模式在经皮肾镜碎石术围手术期护理中的应用效果

基于ERAS理念的分级护理模式在经皮肾镜碎石术围手术期护理中的应用效果

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目的:探讨基于快速康复外科(ERAS)理念的分级护理模式在经皮肾镜碎石术围手术期护理中的应用效果.方法:选取 2021 年 1 月—2022 年 12 月中国人民解放军联勤保障部队第九一〇医院泌尿外科收治的 100 例经皮肾镜碎石术患者为研究对象.按照 1∶1 的比例随机将其分为对照组和研究组,各 50 例.对照组采用常规护理模式,研究组在常规护理模式的基础上采用基于ERAS理念的分级护理模式.观察两组术后并发症、康复指标及护理质量情况.结果:研究组术后并发症发生率为 6.00%,明显低于对照组的 24.00%,差异有统计学意义(P<0.05);研究组首次肛门排气时间、早期进食时间及住院时间均优于对照组,差异有统计学意义(P<0.05);研究组护理质量各项目评分均高于对照组,差异有统计学意义(P<0.05).结论:经皮肾镜碎石术围手术期护理期间应用基于ERAS理念的分级护理模式能够促进患者早期康复,缩短住院时间,减少并发症的发生,且护理质量好.
Effect of Grading Nursing Model Based on ERAS Concept in Perioperative Nursing of Percutaneous Nephrolithotripsy
Objective:To observe the effect of grading nursing model based on ERAS concept in perioperative nursing of percutaneous nephrolithotripsy.Method:From January 2021 to December 2022,100 patients treated by percutaneous nephrolithotripsis in the Urology Department of the 910th Hospital of the Chinese People's Liberation Army Joint Logistics Support Force were selected as the study objects.They were randomly divided into control group and study group according to the ratio of 1∶1,with 50 cases in each group.The control group adopted the conventional nursing mode,and the study group added grading nursing model based on ERAS concept on the basis of conventional nursing mode.The postoperative complications,rehabilitation indexes and nursing quality of the two groups were compared.Result:The postoperative complications rate in the study group was 6.00%,which was significantly lower than 24.00%in the control group,the difference was statistically significant(P<0.05).The first anal exhaust time,early feeding time and hospital stay in the study group were better than those in the control group,and the differences were statistically significant(P<0.05).The scores of nursing quality in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of grading nursing model based on ERAS concept in perioperative nursing of percutaneous nephrolithotripsis can promote early recovery of patients,shorten the length of hospital stay,and reduce the occurrence of complications,and has good nursing quality.

Percutaneous nephrolithotripsyGrading nursing modelERASPerioperative Nursing

王玉兰、陈海莺、廖碧霞、陈丽新

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中国人民解放军联勤保障部队第九一〇医院 福建 泉州 362000

经皮肾镜碎石术 分级护理模式 快速康复外科 围手术期护理

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(4)
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