基于ERAS的护理计划对接受IV级一日手术的患者的术后康复的影响:随机对照试验
Fang Liu1, Han Zhang1, Xiaoqing Long1
1Day Surgery Center of General Practice Medical Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, No.37, Guoxue Lane, Wuhou District, Chengdu, Sichuan Province, 610041, China.
BMC nursing
|July 22, 2025
概括
定量康复显著改善了IV级日间手术患者的早期康复. 这种方法减少了动员和疼痛的时间,在不影响安全的情况下证明了有效性.
科学领域:
- 手术康复手术康复
- 在手术后增强恢复 (ERAS)
- 日间外科手术协议
背景情况:
- 早期动员 (EM) 是手术后增强恢复 (ERAS) 计划的基石.
- 开发特定的EM程序对于优化日间手术环境中的患者结果至关重要.
- 这项研究解决了在第四级白天手术中需要基于证据的动员策略的需求.
研究的目的:
- 开发和评估一项专门的早期术后动员计划,用于接受IV级白天手术的患者.
- 将定量康复方法的有效性与标准指南进行比较.
- 评估干预对康复时间,疼痛管理和患者满意度的影响.
主要方法:
- 一项随机对照试验,涉及191名IV级日间手术患者 (96名对照患者,95名实验患者).
- 实验组接受了定量康复指导,对照组遵循标准协议.
- 测量结果包括时间到第一次床上和床外活动,术后疼痛得分和整体满意度.
主要成果:
- 实验组显示,手术后的第一次床上和床外活动的时间显著缩短 (P < 0.05).
- 手术后6小时和出院前的疼痛评分在实验组明显较低 (P < 0.05).
- 两组之间在不良事件,情绪状态或整体患者满意度方面没有发现显著差异.
结论:
- 定量康复指导是提高日间手术患者早期康复的有效方法.
- 这种方法导致更快的动员和减少疼痛与标准的协议相比.
- 定量康复计划显示了与标准护理相似的安全水平.
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