分析加速康复外科(ERAS)理念在单孔胸腔镜肺叶切除术围手术期护理中的应用效果

Analyze the Application Effect of Enhanced Recovery After Surgery(ERAS)Concept in the Perioperative Nursing of Single-port Thoracoscopic Lobectomy

目的研究单孔胸腔镜肺叶切除术围术期护理中加速康复外科(ERAS)理念的应用效果。方法研究自2019年5月-2020年5月抽取200例单孔胸腔镜肺叶切除术治疗患者,将所有患者均分为两组,其中对照组100例仅实施常规护理,观察组100例则在护理中运用ERAS理念,将两组临床指标、疼痛程度、并发症情况和生活质量变化等进行比较。结果观察组恢复下床活动、首次进食、抗生素应用、住院等时间指标均短于对照组,护理后观察组的疼痛评分低于对照组,并发症率小于对照组,差异有统计学意义(P<0.05);观察组在治疗前的生活质量评分与对照组无统计学差异(P>0.05),在治疗后的生活质量评分皆高于对照组,差异有统计学意义(P<0.05)。结论单孔胸腔镜肺叶切除术是临床治疗肺部疾病的重要手术方案,以ERAS理念为基础开展围术期护理,有效削弱了疼痛、负性心理、认知水平不足等因素对手术以及术后康复的影响,对康复有促进作用。

Objective To study the application effect of Enhanced Recovery After Surgery(ERAS)in perioperative nursing of single hole thoracoscopic lobectomy.Methods From May 2019 to May 2020,200 patients were selected and divided into two groups.The control group(100 cases)only received routine nursing,while the observation group(100 cases)used ERAS concept in nursing.The clinical indicators,pain degree,complications and changes in quality of life of the two groups were compared.Results The observation group’s time to get out of bed,first meal,antibiotic application,and hospitalization were shorter than those of the control group.The pain score of the observation group after nursing was lower than that of the control group,and the complication rate was lower than that of the control group.The difference was statistically significant(P<0.05).The quality of life scores of the observation group before treatment were not significantly different from those of the control group(P>0.05),but the quality of life scores after treatment were higher than those of the control group(P<0.05).Conclusion Single-port thoracoscopic lobectomy is an important surgical plan for the clinical treatment of lung diseases.Perioperative care is carried out based on the concept of ERAS,which effectively reduces the effects of pain,negative psychology,insufficient cognitive level and other factors on surgery and surgery.The impact of post-rehabilitation has a promoting effect on rehabilitation.