{"title":"加强术后恢复护理对肝移植术后患者恢复的影响。","authors":"Zhiling Hu, Dan Li","doi":"10.1016/j.transproceed.2024.07.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To explore the effect of enhanced recovery after surgery nursing on the recovery in patients after liver transplantation.</p></div><div><h3>Methods</h3><p>This study was performed in 128 patients underwent liver transplantation in our hospital. According to the random number table, these patients were divided into the control group (<em>n =</em> 64) and the experimental group (<em>n =</em> 64). Patients in the control group received traditional nursing, while those in the experimental group received enhanced recovery after surgery nursing. Completion time of the operation, the amount of infused red blood cells during operation, intraoperative anhepatic period, intensive care unit (ICU) stay, the total length of hospitalization, the number of patients reintubated after surgery, the survival rate within 1 year after surgery, and the incidence of postoperative complications were compared between the two groups.</p></div><div><h3>Results</h3><p>Intraoperative anhepatic period and the amount of infused red blood cells during operation in the experimental group were lower than those in the control group (both <em>P < .</em>05). Postoperative ICU stay, the total length of hospitalization, and the number of patients reintubated after surgery in the experimental group were decreased when compared with the control group, while postoperative ventilator weaning time was increased (all <em>P < .</em>05). The survival rates at 3 months, 6 months, and 1 year after surgery in the experimental group were higher than those in the control group (all <em>P < .</em>05). Compared with the control group, the total incidence of complications in the experimental group was reduced (<em>P < .</em>05).</p></div><div><h3>Conclusion</h3><p>The application of enhanced recovery after surgery nursing in liver transplantation patients contributes to the accelerated recovery of body function, shortened total length of hospitalization and ICU stay, declined complications, and increased survival rate within 1 year.</p></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of Enhanced Recovery After Surgery Nursing on the Recovery in Patients After Liver Transplantation\",\"authors\":\"Zhiling Hu, Dan Li\",\"doi\":\"10.1016/j.transproceed.2024.07.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To explore the effect of enhanced recovery after surgery nursing on the recovery in patients after liver transplantation.</p></div><div><h3>Methods</h3><p>This study was performed in 128 patients underwent liver transplantation in our hospital. According to the random number table, these patients were divided into the control group (<em>n =</em> 64) and the experimental group (<em>n =</em> 64). Patients in the control group received traditional nursing, while those in the experimental group received enhanced recovery after surgery nursing. Completion time of the operation, the amount of infused red blood cells during operation, intraoperative anhepatic period, intensive care unit (ICU) stay, the total length of hospitalization, the number of patients reintubated after surgery, the survival rate within 1 year after surgery, and the incidence of postoperative complications were compared between the two groups.</p></div><div><h3>Results</h3><p>Intraoperative anhepatic period and the amount of infused red blood cells during operation in the experimental group were lower than those in the control group (both <em>P < .</em>05). Postoperative ICU stay, the total length of hospitalization, and the number of patients reintubated after surgery in the experimental group were decreased when compared with the control group, while postoperative ventilator weaning time was increased (all <em>P < .</em>05). The survival rates at 3 months, 6 months, and 1 year after surgery in the experimental group were higher than those in the control group (all <em>P < .</em>05). Compared with the control group, the total incidence of complications in the experimental group was reduced (<em>P < .</em>05).</p></div><div><h3>Conclusion</h3><p>The application of enhanced recovery after surgery nursing in liver transplantation patients contributes to the accelerated recovery of body function, shortened total length of hospitalization and ICU stay, declined complications, and increased survival rate within 1 year.</p></div>\",\"PeriodicalId\":23246,\"journal\":{\"name\":\"Transplantation proceedings\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Transplantation proceedings\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S004113452400441X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"IMMUNOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transplantation proceedings","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S004113452400441X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的探讨加强术后恢复护理对肝移植患者术后恢复的影响：研究对象为在我院接受肝移植手术的 128 例患者。根据随机数字表将这些患者分为对照组（64 例）和实验组（64 例）。对照组患者接受传统护理，实验组患者接受术后康复强化护理。比较两组患者的手术完成时间、术中输注红细胞量、术中无肝期、重症监护室（ICU）住院时间、总住院时间、术后再次插管患者人数、术后 1 年内存活率以及术后并发症发生率：结果：实验组术中无肝期和输注红细胞量均低于对照组（P均<0.05）。与对照组相比，实验组的术后重症监护室住院时间、总住院时间和术后再次插管的患者人数均有所减少，而术后呼吸机断流时间则有所增加（均为 P < .05）。实验组术后 3 个月、6 个月和 1 年的存活率均高于对照组（均 P < .05）。与对照组相比，实验组的并发症总发生率降低（P < .05）：结论：在肝移植患者中应用加强术后恢复护理有助于加快患者身体功能的恢复，缩短住院时间和重症监护室住院时间，减少并发症的发生，提高患者一年内的存活率。
The Effect of Enhanced Recovery After Surgery Nursing on the Recovery in Patients After Liver Transplantation
Objective
To explore the effect of enhanced recovery after surgery nursing on the recovery in patients after liver transplantation.
Methods
This study was performed in 128 patients underwent liver transplantation in our hospital. According to the random number table, these patients were divided into the control group (n = 64) and the experimental group (n = 64). Patients in the control group received traditional nursing, while those in the experimental group received enhanced recovery after surgery nursing. Completion time of the operation, the amount of infused red blood cells during operation, intraoperative anhepatic period, intensive care unit (ICU) stay, the total length of hospitalization, the number of patients reintubated after surgery, the survival rate within 1 year after surgery, and the incidence of postoperative complications were compared between the two groups.
Results
Intraoperative anhepatic period and the amount of infused red blood cells during operation in the experimental group were lower than those in the control group (both P < .05). Postoperative ICU stay, the total length of hospitalization, and the number of patients reintubated after surgery in the experimental group were decreased when compared with the control group, while postoperative ventilator weaning time was increased (all P < .05). The survival rates at 3 months, 6 months, and 1 year after surgery in the experimental group were higher than those in the control group (all P < .05). Compared with the control group, the total incidence of complications in the experimental group was reduced (P < .05).
Conclusion
The application of enhanced recovery after surgery nursing in liver transplantation patients contributes to the accelerated recovery of body function, shortened total length of hospitalization and ICU stay, declined complications, and increased survival rate within 1 year.
期刊介绍：
Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication.
The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics.
Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board.
Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.
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