Perioperative problems and countermeasures of patients with frailty in the perspective of enhanced recovery after surgery
10.3760/cma.j.issn.1674-2907.2019.10.002
- VernacularTitle:加速康复外科视角下衰弱患者围手术期的问题及对策
- Author:
Yina HU
1
;
Hongyan LI
;
Yanhui ZOU
;
Zeya SHI
Author Information
1. 湖南中医药大学护理学院,长沙 410208
- Keywords:
? Review;
? Perioperative nursing;
? Frailty;
? Frailty assessment;
? Enhanced recovery after surgery
- From:
Chinese Journal of Modern Nursing
2019;25(10):1194-1199
- CountryChina
- Language:Chinese
-
Abstract:
? Frailty is a multidimensional syndrome, reflecting the decline of the body's physiological reserve. The patients are often accompanied by a variety of diseases. The postoperative complications and mortality were significantly increased on frail patients due to improper anesthesia and perioperative management. Enhanced recovery after surgery optimizes perioperative treatment and achieves rapid recovery compared with traditional measures. However, perioperative management of patients with frailty is still in the exploratory stage. Common assessment methods for weakness are the debilitating phenotype and the debilitating index. This article focuses on the perioperative related problems of debilitated patients (low nutritional status, poor mental condition, complicated condition and many complications, multi-disciplinary collaboration, prone to fall and fall), and provide the basis for the frailty management of elderly medical workers.
