临床护理路径结合ERAS优质护理在儿童先天性巨结肠切除术后的应用效果

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摘要目的探究临床护理路径结合快速康复外科理念（ERAS）优质护理在儿童先天性巨结肠切除术后的应用效果。方法选择2017年6月至2020年6月上海交通大学医院附属新华医院小儿急危重症医学科进行手术治疗的100例儿童先天性巨结肠患儿作为研究对象，按照随机数表法分为观察组和对照组，各50例。对照组在术后给予传统康复理念的护理干预，观察组在对照组的基础上采用临床护理路径结合ERAS优质护理进行术后护理干预。比较两组在术后住院期间的疼痛程度、首次排气时间、首次排便时间、术后进食时间、住院时间、住院费用等术后指标以及术后并发症发生情况和护理满意度。结果观察组疼痛程度明显轻于对照组，差异有统计学意义（P ＜ 0.05）。观察组首次排气时间、首次排便时间、术后进食时间和住院时间均明显短于对照组，住院费用明显低于对照组，差异有统计学意义（P ＜ 0.05）。观察组术后并发症总发生率明显低于对照组，差异有统计学意义（P ＜ 0.05）。观察组患儿家长对护理工作的总满意度明显高于对照组，差异有统计学意义（P ＜ 0.05）。结论儿童先天性巨结肠切除术后实行临床护理路径结合ERAS优质护理，可明显加快患儿术后的康复速度，有效减少术后并发症的发生，具有较高的临床应用价值。

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	张宇

关键词 ：先天性巨结肠切除术, 临床护理路径, 快速康复外科理念, 术后护理

Abstract：Objective To research the effect of clinical nursing pathway combined with enhanced recovery after surgery (ERAS) high quality nursing in children with Hirschsprung disease after resection. Methods A total of 100 cases of children with Hirschsprung disease resection who underwent surgery in Pediatric Intensive Care Unit in Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from June 2017 to June 2020 were selected as the objects, according to the random number table method they were devided with observation group and control group, with 50 cases in each group. The control group was given nursing intervention of traditional rehabilitation concept after operation. The observation group was given nursing intervention of clinical nursing pathway combined with ERAS high quality nursing on the basis of the control group. The pain degree, first exhaust time, first defecation time, postoperative eating time, hospitalization time, hospitalization expenses, postoperative complications and hursing satisfaction of the two groups were compared during postoperative hospitalizat. Results The degree of pain in the observation group was significantly lighter than that in the control group, and the difference was statistically significant (P ＜ 0.05). The first exhaust time, first defecation time, postoperative eating time and hospitalization time of the observation group were significantly shorter than those of the control group, and the hospitalization cost was significantly lower than that of the control group, and the differences were statistically significant (P ＜ 0.05). The total incidence of postoperative complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). The total satisfaction of the parents of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The clinical nursing pathway combined with ERAS high quality nursing after children’s Hirschsprung disease resection can significantly accelerate the recovery speed of children after operation, and effectively reduce the occurrence of postoperative complications, which has high clinical application value.

Key words： Hirschsprung disease resection Clinical nursing pathway Enhanced recovery after surgery Postoperative nursing

引用本文:

张宇. 临床护理路径结合ERAS优质护理在儿童先天性巨结肠切除术后的应用效果[J]. 中国医药导报, 2021, 18(27): 178-181.
ZHANG Yu. Clinical nursing pathway combined with ERAS high quality nursing in children with hirschsprung disease after resection. 中国医药导报, 2021, 18(27): 178-181.

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https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I27/178

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