Yinzhi Yi , Lin Dong , Ni Zhang , Shasha Mo , Yonghong Xie , Xiongke Hu
{"title":"儿童先天性胫骨假关节的快速手术:一项前瞻性介入研究。","authors":"Yinzhi Yi , Lin Dong , Ni Zhang , Shasha Mo , Yonghong Xie , Xiongke Hu","doi":"10.1016/j.ijotn.2023.101051","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p><span>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<span> 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, </span></span>postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted.</p></div><div><h3>Results</h3><p><span>The retention time of negative pressure drainage tube<span>, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (</span></span><em>P</em> < 0.05); The incidence of complications in the intervention group (5%) was significantly lower than that in the control group (21.42%) (<em>P</em> = 0.029). The family satisfaction of the intervention group (95.00%) was higher than that of the control group (80.95%).</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fast track surgery for children with congenital pseudarthrosis of the tibia: A prospective interventional study\",\"authors\":\"Yinzhi Yi , Lin Dong , Ni Zhang , Shasha Mo , Yonghong Xie , Xiongke Hu\",\"doi\":\"10.1016/j.ijotn.2023.101051\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>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.</p></div><div><h3>Methods</h3><p><span>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<span> 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, </span></span>postoperative complications, and family satisfaction from both groups of patients in a large hospital in China, a comparative analysis was conducted.</p></div><div><h3>Results</h3><p><span>The retention time of negative pressure drainage tube<span>, urinary catheter and hospital stay in the intervention group were shorter than those in the control group (</span></span><em>P</em> < 0.05); The incidence of complications in the intervention group (5%) was significantly lower than that in the control group (21.42%) (<em>P</em> = 0.029). The family satisfaction of the intervention group (95.00%) was higher than that of the control group (80.95%).</p></div><div><h3>Conclusion</h3><p>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.</p></div>\",\"PeriodicalId\":45099,\"journal\":{\"name\":\"International Journal of Orthopaedic and Trauma Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2023-09-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Orthopaedic and Trauma Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878124123000552\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Orthopaedic and Trauma Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878124123000552","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
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.