基于ERAS理念的护理干预对腹部创伤患者术后康复及疼痛的影响

The influence of nursing intervention based on the concept of ERAS on postoperative rehabilitation and pain of patients with abdominal trauma

目的探讨基于加速康复外科理念(ERAS)的护理干预对腹部创伤患者术后康复的影响。方法选择2018年6月—2020年7月本院收治的84例腹部手术患者作为研究对象,按随机数表法分为观察组和对照组两组,每组各42例。对照组给予常规护理,观察组采用基于ERAS理念的护理干预。对比两组术后康复情况、疼痛和并发症发生率。结果观察组术后麻醉苏醒、肠蠕动、肛门排气、住院时间分别为(9.85±2.74)min、(38.24±4.53)h、(22.38±3.41)h、(6.13±2.41)d,短于对照组的(13.65±3.10)min、(46.22±5.09)h、(27.64±3.92)h、(8.97±1.28)d,差异有统计学意义(P<0.05);术后24 h两组疼痛比较,差异无统计学意义(P>0.05);观察组术后72 h疼痛评分(3.33±1.07)分,低于对照组的(4.24±1.29)分,差异有统计学意义(P<0.05);观察组并发症发生率为2.38%,低于对照组的19.05%,差异有统计学意义(P<0.05)。结论基于ERAS的护理干预可有效减轻腹部创伤患者术后疼痛,减少并发症,缩短住院时间。

Objective To explore the effect of nursing intervention based on the concept of enhanced rehabilitation after surgery(ERAS)on postoperative rehabilitation of patients with abdominal trauma.Methods A total of 84 patients undergoing abdominal surgery in our hospital from June 2018 to July 2020 were selected as the research objects.They were divided into observation group and control group according to the random number table method,with 42 cases in each group.The control group was given routine nursing care,and the observation group adopted nursing intervention based on the concept of ERAS.The postoperative recovery,pain and complication rates were compared between the two groups.Results Postoperative recovery from anesthesia,bowel movement,anal exhaust,and hospital stay in the observation group were(9.85±2.74)min,(38.24±4.53)h,(22.38±3.41)h,and(6.13±2.41)d,respectively,which were shorter than(13.65±3.10)min,(46.22±5.09)h,(27.64±3.92)h,(8.97±1.28)d in the control group,the difference were statistically significant(P<0.05).There was no significant difference in the pain between the two groups at 24 h after surgery(P>0.05).The pain score of the observation group at 72 h after surgery(3.33±1.07)scores was lower than that of the control group(4.24±1.29)scores,and the difference was statistically significant(P<0.05).The complication rate in the observation group was 2.38%,which was lower than19.05%of the control group,the difference was statistically significant(P<0.05).Conclusions Nursing intervention based on ERAS could effectively reduce postoperative pain in patients with abdominal trauma,reduce complications,and shorten hospital stay.