基于加速康复外科理念的护理干预对老年腹股沟疝手术患者的临床应用效果

Clinical application effect of nursing intervention based on concept of enhanced recovery after surgery(ERAS) in elderly patients with inguinal hernia surgery

目的探讨基于加速康复外科(ERAS)理念护理干预对老年腹股沟疝手术患者应用效果。方法选取2017年11月—2020年11月收治于我院的84例老年腹股沟疝日间手术患者,按随机数字表法分为两组,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。对比两组术后机体康复情况与并发症发生率。结果观察组术后首次肛门排气、排便、下床活动、进食及住院时间为(4.28±1.23)h、(15.24±2.16)h、(15.39±2.17)h、(5.69±1.41)h、(3.83±1.03)d,短于对照组的(5.48±1.08)h、(16.54±2.37)h、(16.43±2.11)h、(6.38±1.52)h、(4.38±1.14)d,差异有统计学意义(t=4.751、2.627、2.227、2.157、2.320,P=<0.001、0.010、0.029、0.034、0.023);观察组并发症发生率4.76%,低于对照组的19.05%,差异有统计学意义(χ^(2)=4.087,P=0.043)。结论基于ERAS理念护理干预能够加快老年腹股沟疝手术患者术后肛门排气、排便等时间,预防并发症,促进术后康复。

Objective To explore the application effect of nursing intervention based on the concept of enhanced recovery after surgery(ERAS)in elderly patients with inguinal hernia surgery.Methods From November 2017 to November 2020,84 elderly patients with inguinal hernia undergoing receiving day surgery were selected and randomly divided into a control group and an observation group,with 42 cases in each group.The control group was given the routine nursing,and the observation group was given the nursing intervention based on the ERAS concept.The recovery and the incidence rates of complications of the two groups were compared.Results The time of the first postoperative anal exhaust,defecation,ambulation,eating and hospitalization of the observation group was(4.28±1.23)h,(15.24±2.16)h,(15.39±2.17)h,(5.69±1.41)h,and(3.83±1.03)d respectively,which were shorter than that of the control group(5.48±1.08)h,(16.54±2.37)h,(16.43±2.11)h,(6.38±1.52)h,(4.38±1.14)d respectively,with statistical differences(t=4.751,2.627,2.227,2.157,2.320,P=<0.001,0.010,0.029,0.034,0.023).The incidence rate of complications of the observation group was 4.76%,which was less than that of the control group(19.05%)(χ^(2)=4.087,P=0.043).Conclusion The nursing intervention based on the ERAS concept can accelerate the time of anal exhaust and defecation in elderly patients with inguinal hernia surgery,prevent complications and promote postoperative rehabilitation.