Objective:To systematically explore the effectiveness of combining Enhanced Recovery After Surgery(ERAS)nursing and empathy intervention for postoperative patients with glioma.Methods:A total of 54 patients with gliom...Objective:To systematically explore the effectiveness of combining Enhanced Recovery After Surgery(ERAS)nursing and empathy intervention for postoperative patients with glioma.Methods:A total of 54 patients with glioma undergoing surgical treatment were selected for the study.The patients were admitted to the hospital between April 2023 and April 2025.The patients were divided into an observation group(n=27)and a control group(n=27)based on a random number table method.Relevant intervention indicators were compared between the two groups.Results:Compared with the control group,the postoperative recovery indicators in the observation group showed significant differences(P<0.05).After intervention,the scores of stress psychological indicators,FMA,NHISS,and ADL in the observation group were all better than those in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The combined application of empathy intervention and ERAS nursing effectively regulates the postoperative stress psychological state of patients with glioma,significantly improves their limb and neurological functions as well as daily living abilities,accelerates postoperative recovery,and reduces complications.This approach is feasible for wider implementation.展开更多
Bariatric and metabolic surgeries have gained extensive popularity and trust due to their documented efficacy and safety in managing not only obesity but also associated comorbidities such as diabetes mellitus, hypert...Bariatric and metabolic surgeries have gained extensive popularity and trust due to their documented efficacy and safety in managing not only obesity but also associated comorbidities such as diabetes mellitus, hypertension, dyslipidemia, sleep apnea, and joint pain. Traditionally, bariatric surgeries have been categorized into hypoabsorptive, restrictive, or hybrid approaches. However, these classifications inadequately reflect the complex anatomical and physiological alterations associated with modern surgical methodologies. This paper explores the evolution of metabolic surgeries, emphasizing the integration of physiological concepts into classic procedures to provide more tailored and effective treatment options for obesity and its comorbidities. Finally, the proposal for a new classification based on current metabolic concepts will facilitate communication among patients, doctors, and healthcare professionals. Additionally, it will enable a more didactic and standardized approach to data collection for conducting studies and publications.展开更多
Thoracic spine fracture is a common orthopedic injury that is usually caused by external forces acting directly on or transmitted to the thoracic spine through other parts of the spine.Thoracic spine fractures can be ...Thoracic spine fracture is a common orthopedic injury that is usually caused by external forces acting directly on or transmitted to the thoracic spine through other parts of the spine.Thoracic spine fractures can be divided into two types:stable and unstable.An unstable fracture means that the relationship between the vertebral bodies is no longer stable,which may cause serious consequences such as spinal compression,nerve root compression,or spinal cord injury.Surgical treatment is often needed for patients with unstable fractures,nerve root compression,or spinal cord injury to restore stability and function to the thoracic spine.The probability of complications after thoracolumbar fracture surgery is high,which affects the outcome of surgical treatment.To improve postoperative rehabilitation outcomes,this article analyzed the value of nursing care based on the enhanced recovery after surgery(ERAS)concept for patients undergoing thoracolumbar fracture surgery.展开更多
Objective: To explore the application and effect of the enhanced recovery after surgery (ERAS) concept combined with psychological stress intervention in laparoscopic urological surgery nursing. Methods: 100 cases of ...Objective: To explore the application and effect of the enhanced recovery after surgery (ERAS) concept combined with psychological stress intervention in laparoscopic urological surgery nursing. Methods: 100 cases of urological surgical patients according to the nursing way, each 50 cases were divided into observation group and control group, and control group routine nursing, and the observation group implement rapid rehabilitation surgery concept in combination with psychological nursing, the comparison of two groups of patients with stress index, immune function, mental health, postoperative recovery index and the effect of complications. Results: There were statistically significant differences in stress index, immune function, mental health level, postoperative recovery index and complications between the observation group and the control group after psychological nursing (P Conclusion: The concept of rapid rehabilitation surgery combined with psychological nursing can help relieve psychological stress, restore immune function, reduce psychological pressure drop, speed up rehabilitation and reduce the incidence of postoperative complications in patients undergoing laparoscopic urologic surgery. Psychological nursing plays an adjunct role in laparoscopic urological surgery, so it is worth promoting.展开更多
Traumatic spinal cord injury（SCI）remains a devastating neurological disorder leading to severe consequences for the affected individual and their families.Further,socioeconomic implications should not be neglected a...Traumatic spinal cord injury（SCI）remains a devastating neurological disorder leading to severe consequences for the affected individual and their families.Further,socioeconomic implications should not be neglected as well.Although life expectancy after SCI increased tremendously,therapeutic treatment options remain limited.展开更多
肝癌是我国常见的恶性肿瘤之一。肝切除术是肝癌的标准根治性治疗方法,研究表明将快速康复外科(enhanced recovery after surgery,ERAS)应用在肝胆手术中是安全且有效的。本文基于ERAS理念在肝切除术的术前、术中、术后护理现状及相关...肝癌是我国常见的恶性肿瘤之一。肝切除术是肝癌的标准根治性治疗方法,研究表明将快速康复外科(enhanced recovery after surgery,ERAS)应用在肝胆手术中是安全且有效的。本文基于ERAS理念在肝切除术的术前、术中、术后护理现状及相关研究进展进行综述,以期为肝切除术的患者护理提供参考。展开更多
Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surge...Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surgery (ERAS) principles provides a new approach to postoperative recovery in patients. This study aims to investigate the clinical application effects of ERAS principles in single-level lumbar spinal stenosis surgery. Methods: This study included 64 patients who underwent lumbar fusion surgery in the Spinal Surgery Department of Baise People’s Hospital from July 2022 to July 2024. These patients were divided into an experimental group (ERAS group, 33 cases) and a control group (conventional group, 31 cases) based on perioperative care, receiving ERAS principles and traditional treatment, respectively. A comparison was made between the two groups in terms of gender, age, BMI, intraoperative blood loss, postoperative length of hospital stay, postoperative complications, hospital costs, VAS scores (preoperative/postoperative day 3), and ODI scores (preoperative/postoperative day 3). Results: There were no significant differences in gender, age, and BMI between the ERAS group and the conventional group (gender: χ2 = 0.5008, P = 0.4792;age: 54.55 ± 8.51 years vs. 57.39 ± 8.16 years, P = 0.0892;BMI: 25.11 ± 2.70 vs. 24.77 ± 2.75, P = 0.3098). However, during surgery, patients in the ERAS group had significantly less blood loss than those in the conventional group (197.58 ± 195.51ml vs. 438.71 ± 349.22 ml, P = 0.0006), and the postoperative length of hospital stay was significantly shorter (7.00 ± 2.24 days vs. 11.55 ± 5.23 days, P = 0.0000). On postoperative day 3, VAS scores were significantly better in the ERAS group compared to the conventional group (3.70 ± 0.88 vs. 4.32 ± 0.87, P = 0.0031), and the ODI scores showed significant improvement as well (46.00 ± 3.04 vs. 48.00 ± 3.39, P = 0.0078). Although there were no significant differences in postoperative complications and hospital costs (complications: 3 cases vs. 0 cases, P = 0.2154;hospital costs: 63524.29 ± 17891.80 RMB vs. 58733.84 ± 13280.82 RMB, P = 0.1154), ERAS demonstrated better postoperative recovery outcomes in single-level lumbar spinal stenosis surgery. Conclusion: The study results support the implementation of ERAS principles in single-level lumbar spinal stenosis surgery to promote rapid recovery, reduce healthcare resource consumption, and improve overall patient satisfaction.展开更多
This study explores the application value of Zhao Shi Lei-huo-jiu in managing common postoperative gastrointestinal symptom clusters following rectal cancer surgery,under the framework of the Enhanced Recovery After S...This study explores the application value of Zhao Shi Lei-huo-jiu in managing common postoperative gastrointestinal symptom clusters following rectal cancer surgery,under the framework of the Enhanced Recovery After Surgery(ERAS)concept.By detailing the development,core elements,and application of ERAS in colorectal surgery,combined with the historical origins,unique techniques,and mechanisms of Zhao Shi Lei-huo-jiu,this paper highlights the innovation of integrating traditional Chinese medicine treatments with modern surgical recovery principles.Through a rigorously designed research process,rectal cancer postoperative patients were selected as research subjects,and the data collection and implementation steps were explicitly outlined.The study results provide scientific evidence for the practical efficacy and advantages of Zhao Shi Lei-huo-jiu in postoperative rehabilitation for rectal cancer,offering significant practical implications for guiding clinical practice and promoting early patient recovery.展开更多
目的:探究基于快速康复外科理念(enhanced recovery after surgery,ERAS)的童趣化护理在学龄前期儿童肱骨髁上骨折中的应用效果。方法:选取2021年7月-2023年3月苏州大学附属儿童医院收治的326例学龄前期肱骨髁上骨折住院患儿为研究对象...目的:探究基于快速康复外科理念(enhanced recovery after surgery,ERAS)的童趣化护理在学龄前期儿童肱骨髁上骨折中的应用效果。方法:选取2021年7月-2023年3月苏州大学附属儿童医院收治的326例学龄前期肱骨髁上骨折住院患儿为研究对象,按照随机数字表法将患儿分为对照组和ERAS组各163例。对照组采取围术期常规护理,ERAS组在对照组的基础上采取基于ERAS理念的童趣化护理干预,比较两组患儿配合度、疼痛程度、功能锻炼依从性、末梢血运障碍发生率及护理满意度。结果:ERAS组患儿配合度明显优于对照组,差异有统计学意义(P<0.001);ERAS组功能锻炼依从性明显优于对照组,差异有统计学意义(P<0.001);ERAS组肢体末梢循环障碍率低于对照组意义(P<0.05);ERAS组护理满意度优于对照组,差异有统计学意义(P<0.05)。结论:学龄前期肱骨髁上骨折患儿围术期运用基于ERAS理念的童趣化护理可促进术后尽快恢复,减轻疼痛反应,缩短住院时间,提高护理满意度。展开更多
An osteosynthesis of the mandible should be called stable when this type of treatment does not need to be supported by intermaxillary fixation,without disturbing the healing process.In that intention,many techniques o...An osteosynthesis of the mandible should be called stable when this type of treatment does not need to be supported by intermaxillary fixation,without disturbing the healing process.In that intention,many techniques of osteosynthesis based on different concepts were proposed during the last century.A classification of these concepts was formulated.The adaptive osteosynthesis which is pragmatically i.e.empirical,wherein the goal is immobilizing the fracture by bringing the fragments together and fixing them with rigid screwed plates.The rigid compressive osteosynthesis which is an extrapolation of the ideas of Lane proposed in 1912.The stable dynamic elastic osteosynthesis whose principles,equipment and technique as their applications were developed exclusively through biomechanical studies.The basic principle was the recovery of mobility by neutralization of detrimental distraction stresses,and reestablishment of favorable compressive stresses providing dynamic physiological stimulations.The biomechanical characteristics of the plates and the screws made possible the use of the fixation of all types of fractures or orthognathic procedures in mandibular surgery.With the application of mini or microplates in other facial bones and the skull,the art of fracture treatment and of reconstructive surgery of the craniomaxillofacial skeleton,including orthognathic and reconstructive surgery with or without bone grafting,has profoundly changed.At the present time,metal plates are sometimes superseded by resorbable plates and screws.Nevertheless,the fundamental biomechanical principles of osteosynthesis and bone healing remain unchanged.展开更多
Objective: to analyze and explore the clinical application effect of ERAS concept in nursing care after coronary angiography stent. Methods: one hundred and twenty-six patients with coronary angiography and stent impl...Objective: to analyze and explore the clinical application effect of ERAS concept in nursing care after coronary angiography stent. Methods: one hundred and twenty-six patients with coronary angiography and stent implantation in our hospital were selected and randomly divided into the study group and the reference group. The reference group received basic nursing and the study group received nursing combined with ERAS concept. The occurrence of postoperative complications and quality of life of the two groups of patients were compared. Results: the incidence of complications in the study group was lower than that in the reference group, and the quality of life score was higher than that in the reference group (P < 0.05). Conclusion: integrating ERAS concept into patients undergoing coronary angiography and stent implantation can effectively reduce the occurrence of postoperative complications and improve the quality of life of patients, which is worthy of application and promotion.展开更多
This study aims at the effect analysis of rapid rehabilitation surgery concept in the process of surgical treatment and nursing for patients with gastric cancer. Methods: after the time period from start to finish was...This study aims at the effect analysis of rapid rehabilitation surgery concept in the process of surgical treatment and nursing for patients with gastric cancer. Methods: after the time period from start to finish was in January 2019 - January 2020, randomly selected 120 patients with gastric cancer were involved in the research, based on using the different methods of nursing care to patients with implementation of group, nursing combined with rapid recovery of the concept of surgical patients of rehabilitation group, only the implementation of routine nursing intervention patients of control group, nursing on patients after rehabilitation measure. Results: the rehabilitation indexes in the rehabilitation group were better than those in the contrast group, P < 0.05. Conclusion: the concept of scientific rapid rehabilitation surgery in the perioperative period of gastric cancer patients can enhance the therapeutic effect of surgery.展开更多
文摘Objective:To systematically explore the effectiveness of combining Enhanced Recovery After Surgery(ERAS)nursing and empathy intervention for postoperative patients with glioma.Methods:A total of 54 patients with glioma undergoing surgical treatment were selected for the study.The patients were admitted to the hospital between April 2023 and April 2025.The patients were divided into an observation group(n=27)and a control group(n=27)based on a random number table method.Relevant intervention indicators were compared between the two groups.Results:Compared with the control group,the postoperative recovery indicators in the observation group showed significant differences(P<0.05).After intervention,the scores of stress psychological indicators,FMA,NHISS,and ADL in the observation group were all better than those in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The combined application of empathy intervention and ERAS nursing effectively regulates the postoperative stress psychological state of patients with glioma,significantly improves their limb and neurological functions as well as daily living abilities,accelerates postoperative recovery,and reduces complications.This approach is feasible for wider implementation.
文摘Bariatric and metabolic surgeries have gained extensive popularity and trust due to their documented efficacy and safety in managing not only obesity but also associated comorbidities such as diabetes mellitus, hypertension, dyslipidemia, sleep apnea, and joint pain. Traditionally, bariatric surgeries have been categorized into hypoabsorptive, restrictive, or hybrid approaches. However, these classifications inadequately reflect the complex anatomical and physiological alterations associated with modern surgical methodologies. This paper explores the evolution of metabolic surgeries, emphasizing the integration of physiological concepts into classic procedures to provide more tailored and effective treatment options for obesity and its comorbidities. Finally, the proposal for a new classification based on current metabolic concepts will facilitate communication among patients, doctors, and healthcare professionals. Additionally, it will enable a more didactic and standardized approach to data collection for conducting studies and publications.
文摘Thoracic spine fracture is a common orthopedic injury that is usually caused by external forces acting directly on or transmitted to the thoracic spine through other parts of the spine.Thoracic spine fractures can be divided into two types:stable and unstable.An unstable fracture means that the relationship between the vertebral bodies is no longer stable,which may cause serious consequences such as spinal compression,nerve root compression,or spinal cord injury.Surgical treatment is often needed for patients with unstable fractures,nerve root compression,or spinal cord injury to restore stability and function to the thoracic spine.The probability of complications after thoracolumbar fracture surgery is high,which affects the outcome of surgical treatment.To improve postoperative rehabilitation outcomes,this article analyzed the value of nursing care based on the enhanced recovery after surgery(ERAS)concept for patients undergoing thoracolumbar fracture surgery.
文摘Objective: To explore the application and effect of the enhanced recovery after surgery (ERAS) concept combined with psychological stress intervention in laparoscopic urological surgery nursing. Methods: 100 cases of urological surgical patients according to the nursing way, each 50 cases were divided into observation group and control group, and control group routine nursing, and the observation group implement rapid rehabilitation surgery concept in combination with psychological nursing, the comparison of two groups of patients with stress index, immune function, mental health, postoperative recovery index and the effect of complications. Results: There were statistically significant differences in stress index, immune function, mental health level, postoperative recovery index and complications between the observation group and the control group after psychological nursing (P Conclusion: The concept of rapid rehabilitation surgery combined with psychological nursing can help relieve psychological stress, restore immune function, reduce psychological pressure drop, speed up rehabilitation and reduce the incidence of postoperative complications in patients undergoing laparoscopic urologic surgery. Psychological nursing plays an adjunct role in laparoscopic urological surgery, so it is worth promoting.
文摘Traumatic spinal cord injury（SCI）remains a devastating neurological disorder leading to severe consequences for the affected individual and their families.Further,socioeconomic implications should not be neglected as well.Although life expectancy after SCI increased tremendously,therapeutic treatment options remain limited.
文摘肝癌是我国常见的恶性肿瘤之一。肝切除术是肝癌的标准根治性治疗方法,研究表明将快速康复外科(enhanced recovery after surgery,ERAS)应用在肝胆手术中是安全且有效的。本文基于ERAS理念在肝切除术的术前、术中、术后护理现状及相关研究进展进行综述,以期为肝切除术的患者护理提供参考。
文摘Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surgery (ERAS) principles provides a new approach to postoperative recovery in patients. This study aims to investigate the clinical application effects of ERAS principles in single-level lumbar spinal stenosis surgery. Methods: This study included 64 patients who underwent lumbar fusion surgery in the Spinal Surgery Department of Baise People’s Hospital from July 2022 to July 2024. These patients were divided into an experimental group (ERAS group, 33 cases) and a control group (conventional group, 31 cases) based on perioperative care, receiving ERAS principles and traditional treatment, respectively. A comparison was made between the two groups in terms of gender, age, BMI, intraoperative blood loss, postoperative length of hospital stay, postoperative complications, hospital costs, VAS scores (preoperative/postoperative day 3), and ODI scores (preoperative/postoperative day 3). Results: There were no significant differences in gender, age, and BMI between the ERAS group and the conventional group (gender: χ2 = 0.5008, P = 0.4792;age: 54.55 ± 8.51 years vs. 57.39 ± 8.16 years, P = 0.0892;BMI: 25.11 ± 2.70 vs. 24.77 ± 2.75, P = 0.3098). However, during surgery, patients in the ERAS group had significantly less blood loss than those in the conventional group (197.58 ± 195.51ml vs. 438.71 ± 349.22 ml, P = 0.0006), and the postoperative length of hospital stay was significantly shorter (7.00 ± 2.24 days vs. 11.55 ± 5.23 days, P = 0.0000). On postoperative day 3, VAS scores were significantly better in the ERAS group compared to the conventional group (3.70 ± 0.88 vs. 4.32 ± 0.87, P = 0.0031), and the ODI scores showed significant improvement as well (46.00 ± 3.04 vs. 48.00 ± 3.39, P = 0.0078). Although there were no significant differences in postoperative complications and hospital costs (complications: 3 cases vs. 0 cases, P = 0.2154;hospital costs: 63524.29 ± 17891.80 RMB vs. 58733.84 ± 13280.82 RMB, P = 0.1154), ERAS demonstrated better postoperative recovery outcomes in single-level lumbar spinal stenosis surgery. Conclusion: The study results support the implementation of ERAS principles in single-level lumbar spinal stenosis surgery to promote rapid recovery, reduce healthcare resource consumption, and improve overall patient satisfaction.
文摘This study explores the application value of Zhao Shi Lei-huo-jiu in managing common postoperative gastrointestinal symptom clusters following rectal cancer surgery,under the framework of the Enhanced Recovery After Surgery(ERAS)concept.By detailing the development,core elements,and application of ERAS in colorectal surgery,combined with the historical origins,unique techniques,and mechanisms of Zhao Shi Lei-huo-jiu,this paper highlights the innovation of integrating traditional Chinese medicine treatments with modern surgical recovery principles.Through a rigorously designed research process,rectal cancer postoperative patients were selected as research subjects,and the data collection and implementation steps were explicitly outlined.The study results provide scientific evidence for the practical efficacy and advantages of Zhao Shi Lei-huo-jiu in postoperative rehabilitation for rectal cancer,offering significant practical implications for guiding clinical practice and promoting early patient recovery.
文摘目的:探究基于快速康复外科理念(enhanced recovery after surgery,ERAS)的童趣化护理在学龄前期儿童肱骨髁上骨折中的应用效果。方法:选取2021年7月-2023年3月苏州大学附属儿童医院收治的326例学龄前期肱骨髁上骨折住院患儿为研究对象,按照随机数字表法将患儿分为对照组和ERAS组各163例。对照组采取围术期常规护理,ERAS组在对照组的基础上采取基于ERAS理念的童趣化护理干预,比较两组患儿配合度、疼痛程度、功能锻炼依从性、末梢血运障碍发生率及护理满意度。结果:ERAS组患儿配合度明显优于对照组,差异有统计学意义(P<0.001);ERAS组功能锻炼依从性明显优于对照组,差异有统计学意义(P<0.001);ERAS组肢体末梢循环障碍率低于对照组意义(P<0.05);ERAS组护理满意度优于对照组,差异有统计学意义(P<0.05)。结论:学龄前期肱骨髁上骨折患儿围术期运用基于ERAS理念的童趣化护理可促进术后尽快恢复,减轻疼痛反应,缩短住院时间,提高护理满意度。
文摘An osteosynthesis of the mandible should be called stable when this type of treatment does not need to be supported by intermaxillary fixation,without disturbing the healing process.In that intention,many techniques of osteosynthesis based on different concepts were proposed during the last century.A classification of these concepts was formulated.The adaptive osteosynthesis which is pragmatically i.e.empirical,wherein the goal is immobilizing the fracture by bringing the fragments together and fixing them with rigid screwed plates.The rigid compressive osteosynthesis which is an extrapolation of the ideas of Lane proposed in 1912.The stable dynamic elastic osteosynthesis whose principles,equipment and technique as their applications were developed exclusively through biomechanical studies.The basic principle was the recovery of mobility by neutralization of detrimental distraction stresses,and reestablishment of favorable compressive stresses providing dynamic physiological stimulations.The biomechanical characteristics of the plates and the screws made possible the use of the fixation of all types of fractures or orthognathic procedures in mandibular surgery.With the application of mini or microplates in other facial bones and the skull,the art of fracture treatment and of reconstructive surgery of the craniomaxillofacial skeleton,including orthognathic and reconstructive surgery with or without bone grafting,has profoundly changed.At the present time,metal plates are sometimes superseded by resorbable plates and screws.Nevertheless,the fundamental biomechanical principles of osteosynthesis and bone healing remain unchanged.
文摘Objective: to analyze and explore the clinical application effect of ERAS concept in nursing care after coronary angiography stent. Methods: one hundred and twenty-six patients with coronary angiography and stent implantation in our hospital were selected and randomly divided into the study group and the reference group. The reference group received basic nursing and the study group received nursing combined with ERAS concept. The occurrence of postoperative complications and quality of life of the two groups of patients were compared. Results: the incidence of complications in the study group was lower than that in the reference group, and the quality of life score was higher than that in the reference group (P < 0.05). Conclusion: integrating ERAS concept into patients undergoing coronary angiography and stent implantation can effectively reduce the occurrence of postoperative complications and improve the quality of life of patients, which is worthy of application and promotion.
文摘This study aims at the effect analysis of rapid rehabilitation surgery concept in the process of surgical treatment and nursing for patients with gastric cancer. Methods: after the time period from start to finish was in January 2019 - January 2020, randomly selected 120 patients with gastric cancer were involved in the research, based on using the different methods of nursing care to patients with implementation of group, nursing combined with rapid recovery of the concept of surgical patients of rehabilitation group, only the implementation of routine nursing intervention patients of control group, nursing on patients after rehabilitation measure. Results: the rehabilitation indexes in the rehabilitation group were better than those in the contrast group, P < 0.05. Conclusion: the concept of scientific rapid rehabilitation surgery in the perioperative period of gastric cancer patients can enhance the therapeutic effect of surgery.
