Application of enhanced recovery after surgery nursing in patients with minimally invasive surgery of gynecological malignant tumors
10.3760/cma.j.cn115682-20190716-02531
- VernacularTitle:加速康复外科护理在妇科恶性肿瘤微创手术患者中的应用
- Author:
Yun ZHOU
1
;
Ying LIU
;
Hui JIANG
;
Yi ZHOU
;
Shuangqiong ZHOU
Author Information
1. 同济大学附属第一妇婴保健院妇科，上海 201204
- Keywords:
Nursing care;
Gynecological tumors;
Enhanced recovery after surgery;
Minimally invasive surgery
- From:
Chinese Journal of Modern Nursing
2020;26(12):1581-1586
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effects of enhanced recovery after surgery (ERAS) nursing concept in perioperative period of patients with gynecological malignant tumors undergoing minimally invasive surgery.Methods:A total of 60 patients with gynecological malignant tumors who underwent minimally invasive surgery in Shanghai First Maternity and Infant Hospital from August 2018 to May 2019 were selected by convenience sampling method. According to the random number table, they were divided into the non-ERAS group and ERAS group, with 30 cases in each group. Patients in the non-ERAS group were given routine nursing while patients in ERAS group were given enhanced recovery after surgery nursing. The first feeding time after operation, the out of bed activity time on 3 days after operation, activity amount of 3 days after operation, anal exsufflation time, defecation time, length of hospital stay, total hospitalization expenditures, complications, pain score and satisfaction score were compared between the two groups.Results:The out of bed activity time on 3 days after operation and activity amount of 3 days after operation of patients in ERAS group were both more than those of the non-ERAS group, volume of fluid input on 3 days after operation was less than that of the non-ERAS group, anal exsufflation time and defecation time were earlier than those of the non-ERAS group, the pain score on the second day after the operation was better than that of the non-ERAS group and satisfaction degree was higher than that of the non-ERAS group. The differences were statistically significant ( P<0.05) . Conclusions:Application of enhanced recovery after surgery nursing in minimally invasive surgery for gynecologic malignant tumors can improve medical experience of patients, accelerate the postoperative recovery process, shorten the recovery time of patients and help patients to recover, which is worthy of promotion and application.
