儿童先天性胫骨假关节的快速手术:一项前瞻性介入研究。

IF 1.5 Q3 NURSING
Yinzhi Yi , Lin Dong , Ni Zhang , Shasha Mo , Yonghong Xie , Xiongke Hu
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引用次数: 0

摘要

目的:探讨快速手术结合临床护理路径对先天性胫骨假关节的康复及并发症的影响。方法:选择2019年1月至2020年12月收治的82例先天性胫骨假关节患儿为研究对象。对照组采用常规临床护理路径,干预组采用快速手术结合临床护理路径。根据术前时间安排禁食和断水时间,术后给予渐进式饮食管理、多功能镇痛、早期顺序功能锻炼等加速康复护理模式。在收集了中国一家大型医院两组患者的围手术期饮食、术后恢复、术后并发症和家庭满意度的数据后,进行了比较分析。结果:负压引流管留置时间,结论:在先天性胫骨假关节联合手术中加强快速手术护理理念,可缩短患儿住院时间,减少术后并发症的发生,提高患儿的家庭满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study

Objective

The purpose of this study was to explore the effect of fast-track surgery combined with a clinical nursing pathway on the recovery and complications of congenital pseudarthrosis of tibia.

Methods

82 children with congenital pseudarthrosis of tibia admitted from January 2019 to December 2020 were selected as the study subjects. The control group received routine clinical nursing pathway while the intervention group received a fast-track surgery combined with a clinical nursing pathway. The fasting and water deprivation time were arranged according to the pre operation time, and the accelerated rehabilitation nursing models such as progressive diet management, multi-functional analgesia, and early sequential functional exercise were given after the operation. After collecting data on perioperative diet, postoperative recovery, postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted.

Results

The retention time of negative pressure drainage tube, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (P < 0.05); The incidence of complications in the intervention group (5%) was significantly lower than that in the control group (21.42%) (P = 0.029). The family satisfaction of the intervention group (95.00%) was higher than that of the control group (80.95%).

Conclusion

Strengthening the concept of fast-track surgery nursing in the combined operation of congenital pseudarthrosis of tibia can shorten the hospitalization time of children, reduce the occurrence of postoperative complications and improve their family satisfaction.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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