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减少阿片类药物消费和减肥手术后的停留时间:一种非药理学ERAS干预包
Albert R Knight1, Christopher H Stucky1
1Center for Nursing Science and Clinical Inquiry, Landstuhl Regional Medical Center, Landstuhl/Kirchberg, Rheinland-Pfalz, Germany.
概括
实施非阿片类药物手术后增强康复 (ERAS) 捆绑可显著减少阿片类药物的消费量和空腹患者的停留时间. 这种基于证据的方法改善了患者的治疗结果和安全.
科学领域:
- 腹部外科 腹部外科
- 在手术后增强恢复 (ERAS)
- 疼痛管理 疼痛管理
- 术后护理 术后护理
背景情况:
- 腹部外科手术患者经常经历明显的术后疼痛,导致阿片类药物的使用增加和长时间住院.
- 在高急性手术群体中,标准化的术后护理协议对于优化康复和患者安全至关重要.
研究的目的:
- 为了减少阿片类药物消费和减少腹部外科手术患者的停留时间 (LOS).
- 实施基于证据的,非药物治疗的手术后增强恢复 (ERAS) 干预包.
主要方法:
- 进行了一项基于证据的实践项目,开发和实施一种非药物ERAS包,用于减肥患者.
- 包装包括早期出行,氧化,恶心/吐预防,激励螺旋计和冰包应用.
- 在基线和干预后使用描述性统计数据和独立样本t测试来测量阿片类药物消耗和患者的LOS.
主要成果:
- 阿片类药物的消费量大幅下降,芬太尼和水墨 (Dilaudid) 的消费量分别下降了11.0%和25.6%.
- 平均停留时间 (LOS) 显著下降了19.5% (每患者23分钟),从PACU中的1小时58分钟降至1小时35分钟.
- 接受任何阿片类药物的患者的百分比在干预后下降了13.8%.
结论:
- 一个非药物治疗的ERAS捆绑有效地减少了空腹手术患者的阿片类药物消耗和PACU停留时间.
- 通过ERAS协议标准化术后护理,可以改善疼痛管理,减少对阿片类药物的依赖.
- 这个倡议为外科外科领导提供了一个模型,以改善腹患者的护理,安全和结果.
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