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基于加速康复外科的术前预康复管理模式在妇科肿瘤手术患者中的应用 被引量:6

Effects of preoperative rehabilitation management mode based on enhanced recovery after surgery in patients with gynecological tumor surgery
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摘要 目的探讨基于加速康复外科(ERAS)的术前预康复管理在妇科肿瘤手术患者中的应用效果。方法采用便利抽样法,选取2020年1—5月温州医科大学附属第一医院收治的80例妇科肿瘤手术患者作为对照组,选取2021年1—5月收治的82例妇科肿瘤手术患者作为观察组。对照组采用常规ERAS方案,观察组在对照组的基础上采用术前预康复管理措施。比较两组患者术后康复指标(下床活动时间、排气排便时间、并发症发生情况)、抑郁程度及就医满意度。结果观察组患者的首次下床时间、排气时间、排便时间、总并发症发生率均低于对照组,差异均有统计学意义(P<0.05);观察组患者术后抑郁程度轻于对照组,差异有统计学意义(P<0.05);两组患者满意度比较差异无统计学意义(P>0.05)。结论对妇科肿瘤手术患者实施基于ERAS的术前预康复干预管理,有利于促进患者术后康复,并减轻患者抑郁情绪。 Objective To explore the effect of preoperative rehabilitation management based on enhanced recovery after surgery(ERAS)in patients with gynecological tumor surgery.Methods Using the convenience sampling method,80 patients with gynecological tumor surgery who were admitted to the First Affiliated Hospital of Wenzhou Medical University from January to May 2020 were selected as the control group,and 82 patients who underwent gynecological tumor surgery from January to May 2021 were selected as the observation group.The control group was treated with conventional ERAS program,and the observation group received preoperative rehabilitation management on the basis of the control group.The postoperative rehabilitation indicators(time of getting out of bed,time of exhausting and defecation,occurrence of complications),depression and satisfaction with medical treatment were compared between the two groups.Results The time of first getting out of bed,the time of exhausting,the time of defecation and the total complication occurrence of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The postoperative depression of the observation group was lighter than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in patient satisfaction between the two groups(P>0.05).Conclusions The implementation of ERAS-based preoperative rehabilitation management for gynecological tumor surgery patients is conducive to promoting postoperative recovery and reducing depression in patients.
作者 陈丽芬 孔海燕 余淑炬 叶微微 Chen Lifen;Kong Haiyan;Yu Shuju;Ye Weiwei(Department of Gynecology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325200,China)
出处 《中华现代护理杂志》 2022年第18期2458-2462,共5页 Chinese Journal of Modern Nursing
关键词 围手术期护理 妇科肿瘤 预康复 加速康复外科 Perioperative care Gynecologic oncology Preoperative exercise Enhanced recovery after surgery
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