摘要
目的:探究基于加速康复外科(ERAS)理念下机器人辅助非体外循环冠状动脉旁路移植术精准护理模式的应用效果。方法:选取2021年7月—2023年8月在邢台市人民医院心脏外科接受机器人辅助非体外循环冠状动脉旁路移植术的70例患者。采用随机数字表法将其分为研究组(n=35,精准护理)和对照组(n=35,常规护理)。观察和比较两组患者的禁饮、禁食情况、拔管时间、术后恢复情况、心理状态、不良心血管事件发生情况和护理满意度。结果:研究组在术前禁食、禁饮时间、气管插管、尿管、纵隔引流管、心包积液引流管、胸管拔管时间、首次进水时间、进食时间、排便时间、下床时间、心率恢复正常时间、住院时间、导管引流量、SAS评分、SDS评分及术后不良心血管事件发生率等方面均优于对照组(P<0.05);研究组的6MWD长于对照组(P<0.05);研究组护理总满意度明显高于对照组(P<0.05)。结论:与传统护理干预模式相比,基于ERAS理念指导下的精准护理模式在机器人辅助非体外循环冠状动脉旁路移植术中有利于促进患者快速康复,在有效控制不良心血管事件的同时,还能够提升护理满意度,值得临床应用和推广。
Objective:To explore the effect of precision nursing in robot-assisted off-pump coronary artery bypass grafting based on the concept of Enhanced Recovery After Surgery(ERAS).Methods:70 patients who underwent robot-assisted off-pump coronary artery bypass grafting in the Department of Cardiac Surgery of Xingtai People’s Hospital from July 2021 to August 2023 were selected.They were divided into the study group(n=35,precision nursing)and the control group(n=35,routine nursing)by random number table method.The fasting,water-deprivation,extubation time,postoperative recovery,psychological status,incidence of adverse cardiovascular events,and nursing satisfaction of the two groups were observed and compared.Results:The study group was superior to the control group in preoperative fasting time,water-deprivation time,intraoperative tube extubation time,first food and water intaking time after surgery,defecation time,first off-bed time,heart rate recovery time,hospitalization time,catheter drainage,SAS score,SDS score and the incidence of postoperative adverse cardiovascular events(P<0.05).The 6MWD of the study group was longer than that of the control group(P<0.05).The total nursing satisfaction of the study group was significantly higher than that of the control group(P<0.05).Conclusion:Compared with the routine nursing intervention,precision nursing based on the concept of ERAS in robot-assisted off-pump coronary artery bypass grafting is conducive to the rapid recovery of patients,effectively reducing the incidence of adverse cardiovascular events,and improving nursing satisfaction,which is worthy of clinical application and promotion.
作者
武鑫
闫杰立
WU Xin;YAN Jieli(Department of Cardiac Surgery,Xingtai People’s Hospital,Xingtai 054000,China)
基金
河北省自然科学基金(2022SF-DF0216)。
关键词
加速康复外科
机器人辅助手术
非体外循环冠状动脉旁路移植术
精准护理
Enhanced Recovery After Surgery
Robot-assisted Surgery
Off-pump Coronary Artery Bypass Grafting
Precision Nursing Care
