PPI依存性胃食道逆流症の患者における腹腔鏡用ファンドポリケーションにおける全コースERASコンセプトに基づく多視野看護の適用
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まとめ
この要約は機械生成です。胃食道逆流性疾患の患者に乳房手術後の回復が改善される. このアプローチは 回復の時間を大幅に短縮し 痛みや不安を軽減し 患者の満足度を高めます
科学分野
- 外科 介護
- 胃腸内科
- 患者 の 回復
背景
- 陽子ポンプ阻害剤依存性胃食道逆流症 (GERD) は効果的な治療を必要とします.
- GERDの手術は ラパロスコーピカル・ファンドポリケーションです
- 手術後のケアを最適化することは 手術の結果にとって極めて重要です
研究 の 目的
- 外科手術後の強化回復 (ERAS) を用いた複数の視野での看護の効果を評価する.
- ERASベースの看護とGERD患者の通常のケアを比較する.
主な方法
- 98人の陽子ポンプ阻害剤依存性GERD患者で,腹腔鏡によるファンドポリケーションが行われました.
- グループAは ERASに基づいた定期的なケアと多視野の看護を受けた.
- グループBは通常の手術前看護のみを受けた.
主要な成果
- グループAは,手術後の門排気時間,食事時間,ベッドから出る時間,および入院期間が,グループBと比較して有意に短かった (P<0. 05).
- グループAの患者は,ビジュアルアナログスケールの痛みのスコアが低く,不安やうつ病が軽減され (ハミルトンスケール),看護の満足度が高かった (P<0. 05).
結論
- ERASの原則を組み込んだ複数の視野の看護は,GERD患者のラパロスコーピカルファンドポリケーション後の回復を促進します.
- このアプローチにより 痛みの管理が改善され 心理的苦痛が軽減され 患者の満足度が向上します
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