摘要
目的 探讨加速康复外科理念在喉全切除术患者围术期护理中的应用效果.方法 2014年6月—2016年6月将56例喉癌患者按入院时间分为常规组31例和术后快速康复（ERAS）组25例,两组均给予常规护理,ERAS组在此基础上采用ERAS理念加强围术期护理,包括缩短术前禁食禁饮时间、术中插胃管、术后尽早活动、培养患者自我护理能力等.比较两组患者术后并发症、住院总费用、术后住院时间、患者满意度、自我护理能力.结果 ERAS组患者术后发生咽瘘1例,对照组发生咽瘘2例、肺部感染4例.ERAS组术后住院时间（13.76±1.48）d,住院总费用（37467±2232）元,均低于对照组,差异有统计学意义（t值分别为8.861、5.980;P＜0.01）.ERAS组患者满意度88.00%,对照组61.29%,差异有统计学意义（χ2=5.034,P＜0.05）.ERAS组患者自我护理能力总分为（140.10±4.63）分,高于对照组,差异有统计学意义（t=40.594,P＜0.01）.结论 加速康复外科护理能够促进全喉切除患者术后康复,减少住院总费用,增加患者的满意度,增强患者的自我护理能力,改善生存质量.
Objective To explore the application effect of the surgical concept of accelerated rehabilitation in perioperative care of total laryngectomy.Methods Totally 56 patients with laryngocarcinoma were categorized to the enhanced recovery after surgery （ERAS） group （n=25） and the control group （n=31）. Patients in two groups both were given routine care, while patients in ERAS group also were given other procedures such as shortening fasting period, inserting gastric tube, early activity and cultivating patients＆#39; self-care ability, etc. Complications, total hospitalization fee, hospitalization time after surgery, satisfaction of patients and self-care ability of patients between two groups were compared.Results There was 1 case of pharyngeal fistula in ERAS group and 2 cases in the control group, there were 4 cases of pulmonary infection in the control group. In ERAS group, the hospitalization time after surgery （13.76±1.48） d and total hospitalization fee （37467±2232） yuan were all lower than those of the control group （t=8.861, 5.980;P〈0.01）. The satisfaction degree of patients in ERAS group was 88.00%, in the control group was 61.29% （χ2=5.034, P〈0.05）. The score of self-care ability of patients in ERAS group was （140.10±4.63）, which was higher than that of the control group （t=40.594,P〈0.01）.Conclusions Accelerated rehabilitation can promote the postoperative recovery of patients with total laryngectomy, reduce total hospitalization fee, improve patients＆#39; satisfaction, increase patients＆#39; self-care abilities and improve patients＆#39; quality of life.
出处
《中华现代护理杂志》
2017年第23期3028-3032,共5页
Chinese Journal of Modern Nursing
基金
南京大学医学院附属鼓楼医院院级课题（2016ZSA316-1）
关键词
围术期护理
快速康复理念
喉全切除术
Perioperative care
Accelerated rehabilitation concept
Total laryngectomy
