Effects of enhanced recovery nursing pathway in perioperative management of patients with hepatic echinococcosis
10.3760/cma.j.cn115682-20200604-03760
- VernacularTitle:快速康复护理路径在肝包虫病患者围手术期管理中的应用
- Author:
Xiaolan WANG
1
;
Hongying WANG
;
Zhuoma DEJI
;
Ziwen HUANG
;
Xiaoling YU
;
Dequan WU
Author Information
1. 安徽医科大学第二附属医院肿瘤科，合肥 230601
- Keywords:
Perioperative care;
Echinococcosis, hepatic;
Enhanced recovery after surgery;
Critical pathways
- From:
Chinese Journal of Modern Nursing
2021;27(4):499-503
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of enhanced recovery nursing pathway in the enhanced recovery after surgery of perioperative patients with hepatic echinococcosis.Methods:From November 2017 to February 2019, simple random sampling was used to select 160 hepatic echinococcosis patients with surgery admitted to Shannan People's Hospital of Tibet Autonomous Region as the research object. Patients were randomly divided into experimental group and control group, 80 cases in each group. Patients in control group received general surgical routine nursing, and experimental group carried out enhanced recovery nursing pathway on the basis of routine nursing. The postoperative rehabilitation indicators, pain scores and postoperative complications were compared between the two groups.Results:The time of first exhaust time and defecation in experimental group was (3.77±3.05) h and (23.81±17.29) h, which was earlier than (13.27±8.58) h and (37.79±18.23) h in control group, and the differences were statistically significant ( t=4.265, 4.975; P<0.01) . The pain scores of experimental group at 2, 4, 8, and 24 hours after surgery were (1.08±1.04) , (1.61±0.85) , (1.13±0.70) and (0.26±0.41) lower than those [ (2.41±1.20) , (2.94±0.96) , (2.94±0.96) , (1.33±0.90) ]of control group, and the differences were statistically significant ( t=7.501, 9.250, 13.650, -8.720; P<0.01) . There were 2 cases (2.50%) of lung infection in experimental group and 13 cases (16.25%) in control group. The incidence in experimental group was lower than that in control group, and the difference was statistically significant (χ 2=8.901, P<0.01) . Conclusions:The standardized nursing model based on the enhanced recovery nursing pathway is conducive to the postoperative rehabilitation of patients with hepatic echinococcosis, shortens the hospital stay, and reduces postoperative lung infection complications, which is worthy of further promotion.
