Application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy (基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用)
Objective To investigate the effect of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy. Methods A total of 260 cases of laparoscopic cholecystectomy were randomly divided into observation group (n=130...
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Journal of International Translational Medicine Limited
2024-05-01
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| Series: | 中西医结合护理 |
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| Online Access: | http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.20240122003 |
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| author | FANG Shuheng (房树恒) ZHU Hengmei (朱恒美) DONG Zhitao (董志涛) HE Dandan (贺丹丹) |
| author_facet | FANG Shuheng (房树恒) ZHU Hengmei (朱恒美) DONG Zhitao (董志涛) HE Dandan (贺丹丹) |
| author_sort | FANG Shuheng (房树恒) |
| collection | DOAJ |
| description | Objective To investigate the effect of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy. Methods A total of 260 cases of laparoscopic cholecystectomy were randomly divided into observation group (n=130, received routine nursing care) and control group (n=130, received care bundles based on the concept of enhanced recovery). Postoperative recovery condition, incidence of complications and postoperative pain were compared between the two groups. Results At 2, 6 and 24 h after surgery, the Visual Analogue Scale of pain in the observation group were lower than those in the control group, with a significant difference(P＜0. 05). The time to first postoperative exhaustion, time to off-bed activities and hospital stays in the observation group were shorter than those in the control group (P＜0. 05). The incidence of vomiting, incision infection, and bile leakage in the control group was significantly higher than that in the observation group, with a significant difference (P＜0. 05). Conclusion The application of care bundles based on the concept of enhanced recovery after surgery are conducive to the postoperative recovery of patients undergoing laparoscopic cholecystectomy, as well as the improvement of postoperative quality of life. (目的 探讨基于加速康复外科理念的集束化干预措施在腹腔镜胆囊切除患者围术期护理中的应用效果。方法 选取2021年1月—2023年1月某三甲肝胆专科医院收治的260例行腹腔镜胆囊切除术的患者为研究对象, 随机分为两组: 对照组(n=130)围手术期间给予常规护理; 观察组(n=130)实施基于加速康复外科理念的集束化干预措施。比较两组术后恢复情况、并发症发生率以及术后疼痛情况。结果 术后2 h、6 h、24 h观察组患者疼痛视觉模拟(VAS)评分低于对照组, 差异有统计学意义(P＜0. 05)。与对照组相比, 观察组患者术后排气时间、下床时间和住院天数均缩短, 差异有统计学意义(P＜0. 05)。对照组呕吐、切口感染与胆漏发生率高于观察组, 差异有统计学意义(P＜0. 05)。结论 基于加速康复外科理念的集束化干预措更有利于患者术后康复, 提高术后生活质量 。) |
| format | Article |
| id | doaj-art-ac90ece628ac4478bde0c775444c4b84 |
| institution | Kabale University |
| issn | 2709-1961 |
| language | zho |
| publishDate | 2024-05-01 |
| publisher | Journal of International Translational Medicine Limited |
| record_format | Article |
| series | 中西医结合护理 |
| spelling | doaj-art-ac90ece628ac4478bde0c775444c4b842025-02-02T22:57:37ZzhoJournal of International Translational Medicine Limited中西医结合护理2709-19612024-05-0110514915310.55111/j.issn2709-1961.20240122003CJIN20240122003Application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy (基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用)FANG Shuheng (房树恒)0ZHU Hengmei (朱恒美)1DONG Zhitao (董志涛)2HE Dandan (贺丹丹)3Department of Anesthesiology, Third Affiliated Hospital of Naval Medical University, Shanghai, 200438 (海军军医大学第三附属医院 东方肝胆外科医院 麻醉科, 上海, 200438)Special Treatment Clinic, Third Affiliated Hospital of Naval Medical University, Shanghai, 200438 (海军军医大学第三附属医院 东方肝胆外科医院 特需诊疗科, 上海, 200438)Special Treatment Clinic, Third Affiliated Hospital of Naval Medical University, Shanghai, 200438 (海军军医大学第三附属医院 东方肝胆外科医院 特需诊疗科, 上海, 200438)Sixth Department of Liver Surgery, Third Affiliated Hospital of Naval Medical University, Shanghai, 200438 (海军军医大学第三附属医院 东方肝胆外科医院 肝外六科, 上海, 200438)Objective To investigate the effect of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy. Methods A total of 260 cases of laparoscopic cholecystectomy were randomly divided into observation group (n=130, received routine nursing care) and control group (n=130, received care bundles based on the concept of enhanced recovery). Postoperative recovery condition, incidence of complications and postoperative pain were compared between the two groups. Results At 2, 6 and 24 h after surgery, the Visual Analogue Scale of pain in the observation group were lower than those in the control group, with a significant difference(P＜0. 05). The time to first postoperative exhaustion, time to off-bed activities and hospital stays in the observation group were shorter than those in the control group (P＜0. 05). The incidence of vomiting, incision infection, and bile leakage in the control group was significantly higher than that in the observation group, with a significant difference (P＜0. 05). Conclusion The application of care bundles based on the concept of enhanced recovery after surgery are conducive to the postoperative recovery of patients undergoing laparoscopic cholecystectomy, as well as the improvement of postoperative quality of life. (目的 探讨基于加速康复外科理念的集束化干预措施在腹腔镜胆囊切除患者围术期护理中的应用效果。方法 选取2021年1月—2023年1月某三甲肝胆专科医院收治的260例行腹腔镜胆囊切除术的患者为研究对象, 随机分为两组: 对照组(n=130)围手术期间给予常规护理; 观察组(n=130)实施基于加速康复外科理念的集束化干预措施。比较两组术后恢复情况、并发症发生率以及术后疼痛情况。结果 术后2 h、6 h、24 h观察组患者疼痛视觉模拟(VAS)评分低于对照组, 差异有统计学意义(P＜0. 05)。与对照组相比, 观察组患者术后排气时间、下床时间和住院天数均缩短, 差异有统计学意义(P＜0. 05)。对照组呕吐、切口感染与胆漏发生率高于观察组, 差异有统计学意义(P＜0. 05)。结论 基于加速康复外科理念的集束化干预措更有利于患者术后康复, 提高术后生活质量 。)http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.20240122003care bundlesenhanced recovery after surgerylaparoscopic cholecystectomyperioperative nursing集束化护理加速康复外科腹腔镜胆囊切除术围手术期护理 |
| spellingShingle | FANG Shuheng (房树恒) ZHU Hengmei (朱恒美) DONG Zhitao (董志涛) HE Dandan (贺丹丹) Application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy (基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用) 中西医结合护理 care bundles enhanced recovery after surgery laparoscopic cholecystectomy perioperative nursing 集束化护理 加速康复外科 腹腔镜胆囊切除术 围手术期护理 |
| title | Application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy (基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用) |
| title_full | Application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy (基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用) |
| title_fullStr | Application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy (基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用) |
| title_full_unstemmed | Application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy (基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用) |
| title_short | Application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy (基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用) |
| title_sort | application of care bundles based on the concept of enhanced recovery after surgery in perioperative nursing of patients undergoing laparoscopic cholecystectomy 基于加速康复外科理念的集束化干预在腹腔镜胆囊切除患者围术期护理中的应用 |
| topic | care bundles enhanced recovery after surgery laparoscopic cholecystectomy perioperative nursing 集束化护理 加速康复外科 腹腔镜胆囊切除术 围手术期护理 |
| url | http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.20240122003 |
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