Application of evidence-based clinical practice of enhanced recovery after surgery multiple discrepancies theory model in nursing of patients undergoing hepatectomy
10.3760/cma.j.cn115682-20200924-05520
- VernacularTitle:基于证据临床应用的多学科协作加速康复外科模式在肝切除患者护理中的应用
- Author:
Jie WANG
1
;
Liyan PEI
;
Yanan LU
;
Haofen XIE
;
Zejun CAI
;
Hui FEI
;
Hong ZHU
;
Qiaonyu CHEN
;
Liang YANG
Author Information
1. 浙江省宁波市第一医院外科 315000
- Keywords:
Rehabilitation nursing;
Perioperative nursing;
Hepatectomy;
Evidence-based medicine;
Clinical outcome
- From:
Chinese Journal of Modern Nursing
2021;27(14):1883-1888
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of evidence-based clinical practice of enhanced recovery after surgery multiple discrepancies theory (ERAS-MDT) in perioperative nursing of patients with hepatectomy.Methods:From January to December 2018, 62 patients with hepatectomy who received perioperative care of ERAS-MDT in the Department of Hepatobiliary and Pancreatic Surgery of Ningbo First Hospital of Zhejiang Province were selected as the control group. We reviewed the implementation effect, searched the clinical practice guidelines, systematic reviews and evidence summary related to ERAS-MDT, carried out field investigation and expert consultation, summarized the obstacle factors, formulated countermeasures, and built a standardized operation mode of ERAS-MDT. From January to December 2019, a total of 66 patients with hepatectomy who received standardized ERAS-MDT perioperative nursing were selected as the observation group. The first exhaust time, defecation time, first ambulation time, first oral feeding time, hospitalization time, nutritional status and pain score were compared between the two groups.Results:The first exhaust time, defecation time, first ambulation time, first oral feeding time, hospitalization time of the observation group were earlier than those of the control group, and the differences were statistically significant ( P<0.05) . The albumin level of the observation group was higher than that of the control group, and the difference was statistically significant ( P<0.05) . The pain scores of the observation group on the operation day was lower than those of the control group, and the difference between the two groups was statistically significant ( P<0.05) . Conclusions:A standardized management model of ERSA-MDT based on evidence-based clinical practice exhibits positive effect on the perioperative recovery of hepatectomy patients, which can further improve the clinical outcome of patients.
