加速康复外科护理在卵巢子宫内膜异位症囊肿剔除术围术期的应用

Application of enhanced recovery after surgery nursing for endometriosis women undergoing laparoscopy

目的:探讨加速康复外科(enhanced recovery after surgery,ERAS)护理在卵巢子宫内膜异位症囊肿剔除术患者围术期的应用效果。方法:选取2018年1月至2019年1月广州医科大学附属第三医院收治的卵巢子宫内膜异位症囊肿行腹腔镜卵巢囊肿剔除手术患者172例为研究对象,随机分为对照组(n=90)和ERAS组(n=82),对照组给予常规护理,ERAS组行加速康复护理干预。观察两组患者在住院期间的治疗和恢复情况、护理工作满意程度。结果:ERAS组患者术后住院时间、首次下床活动时间、恢复正常饮食时间及肛门排气时间均短于对照组,护理工作满意度较高,差异均有统计学意义(均P<0.05)。结论:ERAS护理可缩短卵巢子宫内膜异位症囊肿剔除术患者住院时间,促进术后康复,提高患者对护理的满意度。

Objective:To explore the safety and effectiveness of nursing measures based on the concept of enhanced recovery after surgery(ERAS)for endometriosis women undergoing laparoscopic ovarian cyst excision.Methods:A total of 172 cases of endometriosis patients admitted to our hospital from January 2018 to January 2019 were selected as subjects.They were divided into ERAS group(82 cases)and control group(90 cases)according to the random number table method.Patients in the ERAS group were given the nursing measures based on the concept of ERAS,and patients in the control group were given the traditional nursing measures.The hospitalization time,surgical waiting time,satisfaction of postoperative pain control and nursing service were compared between the two groups.Results:The hospitalization time,time to ambulation,time to return to normal diet and time to anal exhaust in the ERAS group were all shorter than those in the control group,the differences were statistically significant(P<0.05).The satisfaction of nursing service in the ERAS group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:Nursing measures based on the concept of ERAS can be safely applied to endometriosis surgery,which can significantly shorten hospitalization time,reduce the postoperative complications,and promote postoperative recovery.