BACKGROUND Perioperative nursing can reduce the stress reaction and improve the prognosis of children.AIM To elucidate the influence of multidisciplinary collaborative nursing for enhanced recovery after surgery(ERAS)...BACKGROUND Perioperative nursing can reduce the stress reaction and improve the prognosis of children.AIM To elucidate the influence of multidisciplinary collaborative nursing for enhanced recovery after surgery(ERAS)with family care in perioperative nursing children with an inguinal hernia and its impact on the prognosis.METHODS The data of 100 children with inguinal hernia were retrospectively analyzed.The participants were divided into three groups according to different nursing methods:Groups A(n=38),B(n=32),and C(n=30).Group A received multidisciplinary collaborative ERAS nursing combined with family care nursing;Group B received multidisciplinary collaborative nursing for ERAS;and Group C received routine nursing.The postoperative recovery results of the three groups were compared,including intraoperative blood loss and postoperative feeding time,time of getting out of bed,hospitalization time,and defecation time.Furthermore,the incidence of common complications was also compared between the three groups.RESULTS There was less intraoperative blood loss in Groups A and B than in Group C(P<0.05),and the time of getting out of bed and postoperative hospitalization and defecation times were also decreased in Group C(P<0.05).There was no significant difference in postoperative feeding time among the three groups(P>0.05).Each index had no statistical significance between Groups A and B(P>0.05).The incidence of urinary retention,infection,hematoma,and hernia recurrence in Group A was less than that in Group C(P<0.05).No significant difference was observed in the overall complication rate between Groups A and B and between Groups B and C(P>0.05).CONCLUSION The application of multidisciplinary collaborative nursing combined with family care in the perioperative care of children with an inguinal hernia for ERAS may promote postoperative rehabilitation for children and reduce the incidence of complications.展开更多
目的分析四肢骨折患者采用快速康复外科(Fast-track Surgery,FTS)理念进行围术期护理取得的效果。方法单纯随机选取2022年8月—2023年7月武城县中医院接受手术治疗的90例四肢骨折患者,以随机数表法分为两组。对照组(45例)接受常规围术...目的分析四肢骨折患者采用快速康复外科(Fast-track Surgery,FTS)理念进行围术期护理取得的效果。方法单纯随机选取2022年8月—2023年7月武城县中医院接受手术治疗的90例四肢骨折患者,以随机数表法分为两组。对照组(45例)接受常规围术期护理,研究组(45例)在对照组的基础上采用FTS理念对围术期护理进行优化。比较两组焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、健康调查简表-36(Mos Item Short From Health Survey,SF-36)评分及术后并发症发生率。结果干预后,研究组SDS(40.68±5.00)分、SAS(39.65±5.89)分均低于对照组的(45.40±5.47)分、(44.90±4.74)分,差异有统计学意义(t=4.272、4.658,P均<0.05)。研究组并发症发生率为4.44%,低于对照组的20.00%,差异有统计学意义(χ^(2)=5.075,P<0.05)。干预后研究组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论四肢骨折患者采用FTS理念进行围术期护理能够有效改善心理状况,降低术后并发症风险,保障生活质量,具有临床应用价值。展开更多
文摘BACKGROUND Perioperative nursing can reduce the stress reaction and improve the prognosis of children.AIM To elucidate the influence of multidisciplinary collaborative nursing for enhanced recovery after surgery(ERAS)with family care in perioperative nursing children with an inguinal hernia and its impact on the prognosis.METHODS The data of 100 children with inguinal hernia were retrospectively analyzed.The participants were divided into three groups according to different nursing methods:Groups A(n=38),B(n=32),and C(n=30).Group A received multidisciplinary collaborative ERAS nursing combined with family care nursing;Group B received multidisciplinary collaborative nursing for ERAS;and Group C received routine nursing.The postoperative recovery results of the three groups were compared,including intraoperative blood loss and postoperative feeding time,time of getting out of bed,hospitalization time,and defecation time.Furthermore,the incidence of common complications was also compared between the three groups.RESULTS There was less intraoperative blood loss in Groups A and B than in Group C(P<0.05),and the time of getting out of bed and postoperative hospitalization and defecation times were also decreased in Group C(P<0.05).There was no significant difference in postoperative feeding time among the three groups(P>0.05).Each index had no statistical significance between Groups A and B(P>0.05).The incidence of urinary retention,infection,hematoma,and hernia recurrence in Group A was less than that in Group C(P<0.05).No significant difference was observed in the overall complication rate between Groups A and B and between Groups B and C(P>0.05).CONCLUSION The application of multidisciplinary collaborative nursing combined with family care in the perioperative care of children with an inguinal hernia for ERAS may promote postoperative rehabilitation for children and reduce the incidence of complications.
文摘目的分析四肢骨折患者采用快速康复外科(Fast-track Surgery,FTS)理念进行围术期护理取得的效果。方法单纯随机选取2022年8月—2023年7月武城县中医院接受手术治疗的90例四肢骨折患者,以随机数表法分为两组。对照组(45例)接受常规围术期护理,研究组(45例)在对照组的基础上采用FTS理念对围术期护理进行优化。比较两组焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、健康调查简表-36(Mos Item Short From Health Survey,SF-36)评分及术后并发症发生率。结果干预后,研究组SDS(40.68±5.00)分、SAS(39.65±5.89)分均低于对照组的(45.40±5.47)分、(44.90±4.74)分,差异有统计学意义(t=4.272、4.658,P均<0.05)。研究组并发症发生率为4.44%,低于对照组的20.00%,差异有统计学意义(χ^(2)=5.075,P<0.05)。干预后研究组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论四肢骨折患者采用FTS理念进行围术期护理能够有效改善心理状况,降低术后并发症风险,保障生活质量,具有临床应用价值。
