{"title":"增强术后恢复理念在全髋关节置换术患者围手术期护理中的临床应用","authors":"Miaomiao Liang, Lanfeng Guo, Lin Cong","doi":"10.3760/CMA.J.CN211501-20191208-03623","DOIUrl":null,"url":null,"abstract":"Objective \nTo explore the clinical effect of the concept of enhanced recovery after surgery (ERAS) in the perioperative nursing of patients with total hip replacement. \n \n \nMethods \nA total of 93 patients with hip osteoarthritis admitted from June 2017 to June 2018 were divided into routine nursing group and ERAS nursing group according to the random number table method. Patients in both groups were treated with unilateral total hip arthroplasty. Routine nursing group was treated with routine perioperative nursing, and ERAS nursing group was treated with ERAS concept. The ERAS nursing team was established, including a head nurse and an orthopedic physician, in addition to the regular nursing staff. The treatment, perioperative pain and nursing satisfaction of the two groups were compared. \n \n \nResults \nThe first time of getting out of bed activity [(1.95 ± 0.45) days vs. (5.52 ± 2.52) days], the first time of defecation after operation [(1.34 ± 0.56) days vs. (2.15 ± 0.84) days], the time of hospitalization [(5.73 ± 1.65) days vs. (10.04 ± 2.14) days] in ERAS nursing group were shorter than those in routine nursing group, and the cost of hospitalization [(49 450.50 ± 880.52) yuan vs. (53 053.50 ± 780.50) yuan] was lower than that in routine nursing group, the differences were statistically significant (t=6.639-31.622, P < 0.05). The NRS scores of 24 hours [(3.35 ± 0.85) vs. (4.32 ± 1.05)], 48 hours [(2.65 ± 0.52) vs. (3.48 ± 0.54)] after operation and discharge [(1.74 ± 0.65) vs. (2.36 ± 0.53)] in the ERAS nursing group were lower than those of the routine nursing group, the differences were statistically significant (t=4.526, 4.856 and 4.456, P < 0.05). The nursing satisfaction rate of ERAS nursing group (95.7%, 45/47) was higher than that of routine nursing group (76.60%, 36/47), the difference was statistically significant (P<0.05). \n \n \nConclusion \nThe idea of ERAS has a good clinical effect in perioperative nursing of patients with total hip replacement. \n \n \nKey words: \nEnhanced recovery after surgery; Hip osteoarthritis; Hip replacement; Perioperative nursing","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"249 1","pages":"829-832"},"PeriodicalIF":0.0000,"publicationDate":"2020-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical application of the concept of enhanced recovery after surgery in perioperative nursing of patients with total hip replacement\",\"authors\":\"Miaomiao Liang, Lanfeng Guo, Lin Cong\",\"doi\":\"10.3760/CMA.J.CN211501-20191208-03623\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo explore the clinical effect of the concept of enhanced recovery after surgery (ERAS) in the perioperative nursing of patients with total hip replacement. \\n \\n \\nMethods \\nA total of 93 patients with hip osteoarthritis admitted from June 2017 to June 2018 were divided into routine nursing group and ERAS nursing group according to the random number table method. Patients in both groups were treated with unilateral total hip arthroplasty. Routine nursing group was treated with routine perioperative nursing, and ERAS nursing group was treated with ERAS concept. The ERAS nursing team was established, including a head nurse and an orthopedic physician, in addition to the regular nursing staff. The treatment, perioperative pain and nursing satisfaction of the two groups were compared. \\n \\n \\nResults \\nThe first time of getting out of bed activity [(1.95 ± 0.45) days vs. (5.52 ± 2.52) days], the first time of defecation after operation [(1.34 ± 0.56) days vs. (2.15 ± 0.84) days], the time of hospitalization [(5.73 ± 1.65) days vs. (10.04 ± 2.14) days] in ERAS nursing group were shorter than those in routine nursing group, and the cost of hospitalization [(49 450.50 ± 880.52) yuan vs. (53 053.50 ± 780.50) yuan] was lower than that in routine nursing group, the differences were statistically significant (t=6.639-31.622, P < 0.05). The NRS scores of 24 hours [(3.35 ± 0.85) vs. (4.32 ± 1.05)], 48 hours [(2.65 ± 0.52) vs. (3.48 ± 0.54)] after operation and discharge [(1.74 ± 0.65) vs. (2.36 ± 0.53)] in the ERAS nursing group were lower than those of the routine nursing group, the differences were statistically significant (t=4.526, 4.856 and 4.456, P < 0.05). The nursing satisfaction rate of ERAS nursing group (95.7%, 45/47) was higher than that of routine nursing group (76.60%, 36/47), the difference was statistically significant (P<0.05). \\n \\n \\nConclusion \\nThe idea of ERAS has a good clinical effect in perioperative nursing of patients with total hip replacement. \\n \\n \\nKey words: \\nEnhanced recovery after surgery; Hip osteoarthritis; Hip replacement; Perioperative nursing\",\"PeriodicalId\":22999,\"journal\":{\"name\":\"The Journal of practical nursing\",\"volume\":\"249 1\",\"pages\":\"829-832\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-04-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal of practical nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.CN211501-20191208-03623\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of practical nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.CN211501-20191208-03623","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的探讨ERAS理念在全髋关节置换术围手术期护理中的临床效果。方法将2017年6月~ 2018年6月收治的93例髋关节骨性关节炎患者按随机数字表法分为常规护理组和ERAS护理组。两组患者均行单侧全髋关节置换术。常规护理组采用常规围手术期护理，ERAS护理组采用ERAS理念治疗。除常规护理人员外，还成立了ERAS护理小组，包括一名护士长和一名整形外科医生。比较两组患者的治疗情况、围手术期疼痛及护理满意度。结果第一次起床活动[(1.95±0.45)和(5.52±2.52)天),第一次排便后操作[(1.34±0.56)和(2.15±0.84)天],住院的时候[(5.73±1.65)和(10.04±2.14)天]在时代护理组短比常规护理组,和住院成本[49(450.50±880.52)元与53(053.50±780.50)元)低于常规护理组,差异有统计学意义(t=6.639 ~ 31.622, P < 0.05)。ERAS护理组术后24小时NRS评分[(3.35±0.85)比(4.32±1.05)]、术后48小时[(2.65±0.52)比(3.48±0.54)]、出院后[(1.74±0.65)比(2.36±0.53)]均低于常规护理组，差异均有统计学意义(t=4.526、4.856、4.456,P < 0.05)。ERAS护理组护理满意率(95.7%，45/47)高于常规护理组(76.60%，36/47)，差异有统计学意义(P<0.05)。结论ERAS理念在全髋关节置换术围手术期护理中具有良好的临床效果。关键词:增强术后恢复;髋关节骨关节炎;髋关节置换;围手术期护理
Clinical application of the concept of enhanced recovery after surgery in perioperative nursing of patients with total hip replacement
Objective
To explore the clinical effect of the concept of enhanced recovery after surgery (ERAS) in the perioperative nursing of patients with total hip replacement.
Methods
A total of 93 patients with hip osteoarthritis admitted from June 2017 to June 2018 were divided into routine nursing group and ERAS nursing group according to the random number table method. Patients in both groups were treated with unilateral total hip arthroplasty. Routine nursing group was treated with routine perioperative nursing, and ERAS nursing group was treated with ERAS concept. The ERAS nursing team was established, including a head nurse and an orthopedic physician, in addition to the regular nursing staff. The treatment, perioperative pain and nursing satisfaction of the two groups were compared.
Results
The first time of getting out of bed activity [(1.95 ± 0.45) days vs. (5.52 ± 2.52) days], the first time of defecation after operation [(1.34 ± 0.56) days vs. (2.15 ± 0.84) days], the time of hospitalization [(5.73 ± 1.65) days vs. (10.04 ± 2.14) days] in ERAS nursing group were shorter than those in routine nursing group, and the cost of hospitalization [(49 450.50 ± 880.52) yuan vs. (53 053.50 ± 780.50) yuan] was lower than that in routine nursing group, the differences were statistically significant (t=6.639-31.622, P < 0.05). The NRS scores of 24 hours [(3.35 ± 0.85) vs. (4.32 ± 1.05)], 48 hours [(2.65 ± 0.52) vs. (3.48 ± 0.54)] after operation and discharge [(1.74 ± 0.65) vs. (2.36 ± 0.53)] in the ERAS nursing group were lower than those of the routine nursing group, the differences were statistically significant (t=4.526, 4.856 and 4.456, P < 0.05). The nursing satisfaction rate of ERAS nursing group (95.7%, 45/47) was higher than that of routine nursing group (76.60%, 36/47), the difference was statistically significant (P<0.05).
Conclusion
The idea of ERAS has a good clinical effect in perioperative nursing of patients with total hip replacement.
Key words:
Enhanced recovery after surgery; Hip osteoarthritis; Hip replacement; Perioperative nursing
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