脊柱手术后重返家园:护士在患者旅程中的作用

Kim Foxall, Catherine Hardman
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引用次数: 0

摘要

摘要 增强术后恢复(ERAS)计划--也称为快速通道计划--是一种多学科、循证的围手术期路径,旨在使接受大手术的患者早日康复(Ali 等人,2018 年)。ERAS利用各种策略优化患者的手术和康复条件。特别是,其目的是在不增加并发症或再入院的情况下,让患者更早出院,并在术后更快地恢复正常活动(Dietz 等人,2019 年)。ERAS 计划的一个基本要素是手术、麻醉、护理和专职医疗团队之间的多学科合作。虽然ERAS的要素可能因手术单位和医院而异,但在术前、术中和术后阶段有许多共同之处。在过去十年中,脊柱微创手术技术和器械发展迅速,目前全世界都在关注脊柱手术 ERAS 计划,包括腰椎和颈椎减压和融合手术(Li 等人,2021 年)。护士在ERAS方案的成功实施和可持续发展中发挥着关键作用,因为她们拥有专业知识和技能,并在患者护理过程中始终在场(Wainwright等人,2022年)。本刊物介绍了新南威尔士州韦斯特米德医院在微创脊柱手术中实施 ERAS 计划的经验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spine Surgery and Home Again: The Nurse's Role in the Patient Journey
Abstract Enhanced recovery after surgery (ERAS) programs – also referred to as fast-track programs - are multidisciplinary, evidence-based perioperative pathways, designed to achieve early recovery for patients undergoing major surgery (Ali et al., 2018). ERAS utilises strategies to optimise the patient's condition for surgery and recovery. In particular, the aim is to achieve an earlier discharge from hospital for the patient and a more rapid resumption of normal activities after surgery, without an increase in complications or readmissions (Dietz et al., 2019). An essential element of ERAS programs is multidisciplinary collaboration between surgical, anaesthetic, nursing and allied health teams. While elements of ERAS may vary between surgical units and hospitals, there are many common features in the preoperative, intraoperative and postoperative phases. Minimally invasive spine surgery techniques and instrumentation have evolved rapidly over the past decade, and there is now a worldwide interest in ERAS programs for spine surgeries, including lumbar and cervical decompression and fusion procedures (Li et al., 2021). Nurses have a pivotal role in the successful implementation and sustainability of ERAS protocols because of their specialised knowledge and skill, and their constant presence throughout the patient care pathway (Wainwright et al., 2022). This publication presents learnings from the implementation of an ERAS program for minimally invasive spine surgery at Westmead Hospital, NSW.
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