术后增强恢复的应用,用于内镜鼻手术后预防口腔干燥
Yanhong Wei1, Fanglian Shu2, Ying Dai3
1The People's Hospital of Suzhou New District, Department of Ophthalmology and Otorhinolaryngology, Suzhou, Jiangsu, China.
Brazilian journal of otorhinolaryngology
|August 7, 2024
概括
基于手术后增强恢复 (ERAS) 的集群护理有效减少口腔干燥,并改善慢性鼻炎患者手术后的舒适度. 这种干预也可以缓解负面情绪,促进更快的恢复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术护理 医疗护理
- 患者恢复协议 患者恢复协议
背景情况:
- 慢性鼻炎 (CRS) 通常需要手术干预,例如功能性鼻腔内镜手术 (FNES).
- 术后异口症 (口腔干燥) 是一种常见的并发症,影响患者的舒适和康复.
- 标准的护理护理可能无法完全满足FNES患者的多方面的需求.
研究的目的:
- 评估专门的护理干预措施的有效性,以管理FNES后CRS患者的异口症.
- 评估基于ERAS的集群护理对FNES后患者舒适性和情绪健康的影响.
主要方法:
- 一项随机对照试验,涉及80名接受FNES治疗的CRS患者.
- 实验组除了接受一般护理外,还接受了基于ERAS的集群护理.
- 对照组仅接受一般护理护理.
- 测量结果包括异口症阶段,舒适度,以及手术后各个时间点的负面情绪.
主要成果:
- 基于ERAS的集群护理组在手术后6小时,24小时和48小时 (p <0.05) 显著改善了静止病阶段和舒适度.
- 接受专业干预的患者在护理后的负面情绪显著减少 (p < 0.001).
- 虽然两组护理后的抑郁和焦虑得分都增加了,但干预组的负面情绪较低.
结论:
- 基于ERAS的集群护理在缓解CRS患者的手术后异口症方面是有效的.
- 这种护理方法显著提高了患者的舒适度,并减少了负面的情绪状态.
- 该干预措施有助于加速FNES患者的整体术后康复.
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