摘要
目的 结合临床实践经验,探讨基于循证理论的加速康复外科(ERAS)干预模式对提高肾囊肿术后患者胃肠功能的效果。方法 选取2020年10月—2022年12月南华大学附属第二医院收治的肾囊肿患者140例,根据随机数表法将其分为ERAS组和参照组,每组70例。所有患者均采用肾囊肿去顶减压术治疗,参照组患者采取术后常规护理措施,ERAS组患者采用基于循证理论的ERAS干预措施,比较两组患者干预后胃肠功能恢复情况、疼痛程度、焦虑抑郁程度、胃肠道功能、并发症发生率以及患者对干预措施的总满意度。结果 相比于参照组,ERAS组患者干预后肠鸣音恢复时间、首次肛门排气时间和首次排便时间更短(P<0.05)。相比于参照组,ERAS组患者术后24 h、术后48 h和术后72 h疼痛评分更低(P<0.05)。相比于参照组,干预后ERAS组患者胃肠道症状评定量表(GSRS)评分更低(P<0.05)。相比于参照组,干预后ERAS组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分更低(P<0.05)。相比于参照组,ERAS组患者并发症发生率更低(P<0.05)。相比于参照组,ERAS组患者对干预措施的总满意度更高(P<0.05)。结论 基于循证理论的ERAS干预模式可提高肾囊肿术后患者胃肠功能,促进患者排气排便,减轻术后疼痛,缓解患者负性情绪,减少并发症,患者满意度较高,值得推广。
Objective Combined with clinical experience,to explore the effects of ERAS intervention mode based on evidence-based theory on improving gastrointestinal function in patients with renal cyst after surgery.Methods A total of 140 patients with renal cysts admitted to the Second Affiliated Hospital of the University of South China from October 2020 to December 2022 were selected and divided into ERAS group and reference group according to random number table method,with 70 cases in each group.All patients were treated with renal cyst decompression,the reference group was treated with postoperative routine nursing measures,and the ERAS group was treated with evidence-based ERAS intervention measures.Gastrointestinal function indexes were compared between the two groups after intervention,and pain scores were compared between the two groups at 24h,48h and 72h after surgery.The anxiety and depression scores of the two groups were observed before and after the intervention,gastrointestinal function,and the incidence of complications and the overall satisfaction of the two groups were compared.Results Compared with the control group,the recovery time of bowel sound,the time of first anal exhaust and the time of first defecation after intervention in ERAS group were shorter(P<0.05).Compared with the control group,the pain scores of patients in ERAS group were lower at 24h,48h and 72h after surgery(P<0.05).Compared with the control group,the GSRS score in ERAS group after intervention was lower(P<0.05).Compared with the control group,SAS scores and SDS scores in ERAS group after intervention were lower(P<0.05).Compared with the control group,the complication rate in ERAS group was lower(P<0.05).Compared with the control group,the overall satisfaction with the intervention was higher in ERAS group(P<0.05).Conclusion ERAS intervention mode based on the evidence-based theory can improve the gastrointestinal function of patients with renal cyst after surgery,promote the exhaust and defecation of patients,reduce postoperative pain,relieve patients'negative emotions,reduce complications,high patient satisfaction,and is worthy of further promotion and application.
作者
贾丽君
王小燕
JIA Lijun;WANG Xiaoyan(Department of Urology,Second Affiliated Hospital,University of South China,Hengyang,Hunan 421001)
出处
《智慧健康》
2025年第14期144-147,155,共5页
Smart Healthcare
关键词
循证理论
ERAS干预模式
肾囊肿
胃肠功能
Evidence-based theory
ERAS intervention model
Renal cyst
Gastrointestinal function
