基于ERAS理念的舒适护理在儿童纤支镜治疗患儿围手术期的应用效果

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摘要目的研究基于快速康复理念（ERAS）的舒适护理在儿童纤维支气管镜（以下简称“纤支镜”）治疗围手术期的应用效果。方法选取安徽省儿童医院2018年11月至2021年10月间就诊的115例需行纤支镜术患儿为研究对象。按随机数字表法将其分为常规组55例和ERAS组60例。常规组在围手术期行常规护理，ERAS组在围手术期采用基于ERAS理念的舒适护理。术后，记录并比较两组护理效果、啰音消失时间、咳嗽缓解时间、住院时间及体温恢复正常时间与术后并发症发生率。结果 ERAS组患儿的依从性优于常规组（P ＜ 0.05）；ERAS组咳嗽缓解时间、啰音消失时间、体温恢复正常时间及住院时间短于常规组（P ＜ 0.05）。ERAS组术后并发症发生率低于常规组（P ＜ 0.05）。结论在儿童纤支镜围手术期采用ERAS理念指导下的舒适护理，护理效果良好，并能有效地减少患儿的临床体征、症状缓解时间、住院时间及术后并发症发生率。

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	沈如霞1 张业平2

关键词 ：快速康复理念, 舒适护理, 护理效果, 儿童纤维支气管镜, 并发症

Abstract：Objective To study the effect of comfort nursing based on the enhanced recovery after surgery (ERAS) in the perioperative period of fiberoptic bronchoscopy for children. Methods A total of 115 children requiring fiberoptic bronchoscopy were selected from Anhui Hospital Affiliated Pediatric Hospital of Fudan University from November 2018 to October 2021. According to the random number table method, they were randomly divided into 55 cases in the routine group and 60 cases in the ERAS group. After operation, the nursing effect, rale disappearance time, cough relief time, hospital stay, temperature return to normal time, and the incidence of postoperative complications were recorded and compared between the two groups. Results The compliance in ERAS group was better than that in routine group (P ＜ 0.05); the cough relief time, rale disappearance time, body temperature return to normal time, and hospital stay in ERAS group were shorter than those in routine group (P ＜ 0.05). After operation, the incidence of complications in ERAS group was lower than that in routine group (P ＜ 0.05). Conclusion The comfortable nursing under the guidance of ERAS concept in the perioperative period of children’s fiberoptic bronchoscopy has good nursing effect, and can effectively reduce the clinical signs, symptom relief time, hospital stay, and the incidence of postoperative complications.

Key words： Enhanced recovery after surgery Comfort care Nursing effect Fiberoptic bronchoscope for children Complication

引用本文:

沈如霞1 张业平2. 基于ERAS理念的舒适护理在儿童纤支镜治疗患儿围手术期的应用效果[J]. 中国医药导报, 2022, 19(17): 185-188.
SHEN Ruxia1 ZHANG Yeping2. Application effect of comfort nursing based on ERAS concept in perioperative period of children treated with fiberoptic bronchoscopy. 中国医药导报, 2022, 19(17): 185-188.

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