摘要
目的评价基于多学科协作的加速康复外科(ERAS)护理专业组管理模式在临床实践中的效果。方法将接受常规ERAS方案的500例外科患者设为对照组,将接受ERAS护理专业组管理(在外科13个病区共设置6个专业小组,在常规ERAS方案的基础上,以专业组为依托,推动多学科协作,实现ERAS护理精准化)的750例患者作为干预组。比较干预前后护士的专业知识、职业认同水平以及两组患者ERAS相关指标。结果实施后护士专业知识水平及职业认同感均显著高于实施前(均P<0.01);干预组术前禁食水时间、术中低体温发生率、早期下床时间、留置尿管时间以及术后中重度疼痛、营养不良和深静脉血栓发生率显著低于对照组,术后住院时间、住院费用显著少于对照组(P<0.05,P<0.01)。结论多学科ERAS护理专业组管理模式可有效提升护士的专业能力,保障ERAS的实施,改善患者结局。
Objective To evaluate the effect of a multi-disciplinary specialist ERAS team run in clinical practice. Methods Five hundred surgical patients on routine ERAS program were treated as the control group,while 750 counterparts receiving care that was provided by a multi-disciplinary specialist ERAS team were served as the intervention group. The team consisted of 6 sub-groups and worked in 13 surgical wards. The levels of specialty knowledge and professional identity of nurses, as well as ERAS related evaluation indexes of the patients were compared between the two groups. Results Nurses had significant improvements in specialty knowledge and professional identity after the intervention (P<0. 01 for both). The intervention group showed shorter preoperative fasting and dwell urinary catheter time, earlier out-of-the-bed mobilization after the surgery, lower incidence rates of intraoperative hypothermia, moderate to severe postoperative pain intensity, malnutrition, and deep vein thrombosis, as well as less postoperative hospital stay and medical cost compared with the control group (P<0. 05,P<0. 01). Conclusion The practice of multi-disciplinary specialist ERAS team can effectively promote nurses professional competency, guarantee ERAS implementation, and improve outcome of the patients.
作者
方汉萍
李蓉蓉
蔡纯
张严丽
余洪兴
刘洪娟
Fang Hanping;Li Rongrong;Cai Chun;Zhang Yanli;Yu Hongwing;Liu Hongjuan(Surgical Department,Tongji Hospital,Tongji Medical College ,Huazhong University of Science and Technology ,Wuhan 430022 ,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第20期5-8,共4页
Journal of Nursing Science
关键词
住院患者
外科手术
多学科协作
加速康复外科
护理专业组
护理管理
hospitalized patient
surgery
multi-disciplinary collaboration
enhanced recovery after surgery
specialist nurse team
nursing management
