基于加速康复外科理念的手术室护理路径在腹腔镜胆囊切除术中的应用研究

Study on the Application of Operating Room Nursing Pathway Based on the Concept of Enhanced Recovery after Surgery in Laparoscopic Cholecystectomy

目的:探讨在腹腔镜胆囊切除术(LC)中采取基于加速康复外科(ERAS)理念的手术室护理路径的作用.方法:选取2022年4月至2023年4月本院收治的88例采取LC治疗的患者作为研究对象.采用随机数字表法,将其分为观察组(n=44,在常规手术室护理措施基础上实施基于ERAS理念的手术室护理路径)和对照组(n=44,仅采取常规手术室护理措施),两组均持续护理至患者出院.比较两组患者术后康复情况、并发症发生率以及患者对护理服务的满意度.结果:观察组患者手术相关指标及术后恢复情况较对照组好,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组患者满意度评分高于对照组,差异有统计学意义(P<0.05).结论:基于ERAS理念的手术室护理路径干预更具全面性和针对性,可加快LC患者术后康复,减少术后并发症,从而提升患者满意度.

Objective:To investigate the role of the operating room nursing pathway based on the concept of enhanced recovery after surgery(ERAS)in laparoscopic cholecystectomy(LC).Methods:A total of 88 patients who received LC treatment in our hospital from April 2022 to April 2023 were selected as the study subjects.They were divided into an observation group(n=44,received the operating room nursing path based on ERAS concept in addition to the conventional operating room nursing measures)and control group(n=44,received conventional operating room nursing measures only)using a random number table method.Patients in both groups continued to receive care until discharged.Postoperative rehabilitation,complication rate and patients'satisfaction with nursing service were compared between the two groups.Results:The operation related indicators and postoperative recovery of the observation group were better than those of the control group,the differences were statistically significan(P<0.05).The complication rate of the observation group was lower than that of the control group,with statistically significant difference(P<0.05).The satisfaction scores of patients in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion:The surgical nursing pathway intervention based on ERAS concept is more comprehensive and targeted,which can accelerate postoperative rehabilitation of LC patients,reduce postoperative complications,and thus improve patient satisfaction.