| 顾玲俐,周鸽.加速康复理念下术前禁食禁水在肝脏外科择期手术中的应用[J].上海护理,2019,19(S1): |
| 加速康复理念下术前禁食禁水在肝脏外科择期手术中的应用 |
| Application of enhanced recovery after surgery in preoperative fasting times in elective liver surgical patients |
| DOI： |
| 中文关键词: 加速康复外科 肝脏手术 术前禁食禁水 |
| 英文关键词:enhanced recovery after surgery liver surgery preoperative fasting |
| 基金项目: |
|
| 摘要点击次数: 1537 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 探讨加速康复外科(enhanced recovery after surgery,ERAS)理念下术前禁食6h禁水2h在肝脏手术中的应用效果。方法 将2018年1月-2月进行肝脏手术的患者作为对照组,2018年3月-4月进行肝脏手术的患者作为干预组。对照组实施传统的方法,在术前晚8pm禁食10pm禁水。干预组采用加速康复外科理念下术前禁食禁水的要求,术前禁食6h和禁水2h。基于ERAS理念下,病区组建了医护一体化的术前禁食禁水管理小组,在对医护人员进行培训后开始系列管理工作。包括根据不同的手术开始时间进行个性化禁食禁水开始时间的管理；医护合作,及时调整禁食禁水开始时间；制定各班护士在术前禁食禁水中的工作职责；落实患者的健康教育等。结果 干预组患者术前禁食禁水明显短于对照组,干预组患者的口渴、饥饿、焦虑的发生率明显低于对照组,干预组术前补液量明显少于对照组,差异有统计学意义(P<0.05)。结论 基于ERAS理念下的术前禁食禁水措施在肝脏外科择期手术中得到了应用,避免了长时间禁食禁水造成的不适症状,提高了患者对手术的耐受力,缩短了术后住院时间。 |
| 英文摘要: |
| Objective Discuss the effect of preoperative fasting in liver surgery under the concept of enhanced recovery after surgery. Methods Patients who underwent liver operation in January 2018 to February were used as control group, and those who underwent liver surgery in March 2018 to April were used as intervention group. The traditional method was implemented in the control group. Patients can"t eat after 8pm, and can"t drink water after 10pm in the evening before the operation. Patients in the intervention group were forbidden to eat 6h before operation and water was forbidden before 2h. The integrated management group of health care was set up in the ward, and a series of management work began after training medical staff. It includes the management of individualized fasting according to the different start time of the operation; medical and nursing cooperation; setting up the duty of all classes of nurses; implement the health education of the patients and so on. Results In the intervention group, fasting was significantly shorter than those in the control group. The incidence of thirst, hunger and anxiety in the intervention group was significantly lower than that in the control group. The amount of rehydration in the intervention group was significantly less than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Preoperative fasting in liver surgery under the concept of enhanced recovery after surgery was applied. It avoids the symptoms of long time fasting, improves the patient"s tolerance to surgery and shortens the postoperative hospital stay. |
| 查看/发表评论 下载PDF阅读器 全文HTML |
| 关闭 |
|
|
|
