胆囊结石伴胆囊炎腹腔镜术后ERAS护理模式的应用效果

doi:10.20047/j.issn1673-7210.2023.12.37

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Abstract Objective To explore the application effect of enhanced recovery after surgery (ERAS) nursing model after laparoscopic surgery for gallstones with cholecystitis. Methods A total of 80 patients with gallstones with cholecystitis who underwent laparoscopic treatment in Anqing First People’s Hospital of Anhui Province from January 2021 to February 2022 were selected, according to random number table method, the patients were divided into control group and experimental group, with 40 cases in each group. The control group was given conventional nursing mode, and the experimental group was given ERAS nursing mode. Postoperative recovery, numeric rating scales (NRS), Wong-Baker facial pain score, short form-36 of health survey (SF-36) score, complications and satisfaction with nursing were compared between the two groups. Results The feeding, first exhaust, first defecation, getting out of bed, and discharge time of experimental group were shorter than those of control group, and the differences were statistically significant (P＜0.05). The overall analysis showed that there were statistically significant differences in pain scores of NRS and Wong-Baker facial makeup among groups, time points and interaction (P＜0.05). Further pairwise comparison and intra-group comparison: NRS and Wong-Baker facial pain scores at time points in the two groups showed statistically significant differences (P＜0.05); comparison between groups: NRS and Wong-Baker facial pain scores of experimental group were lower than those of control group at 4, 12 h and 24 h after surgery, and the differences were statistically significant (P＜0.05); the SF-36 score of experimental group was higher than that of control group, and the difference was statistically significant (P＜0.05). The total complication rate of experimental group was lower than that of control group, and the difference was statistically significant (P＜0.05). Nursing satisfaction of experimental group was better than that of control group, and the difference was statistically significant (P＜0.05). Conclusion The application of ERAS nursing model after laparoscopic surgery has significant effects on patients with gallstones and cholecystitis, promoting the rapid postoperative recovery of patients, accelerating the process of rehabilitation, effectively alleviating postoperative pain and reducing the occurrence of complications, and significantly improving the postoperative quality of life and satisfaction of patients.

Key words： Cholecystitis Gallstones Laparoscopy Enhanced recovery after surgery Satisfaction

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	WANG Zhaogu

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WANG Zhaogu. Application effect of enhanced recovery after surgery nursing model after laparoscopic surgery for gallstones with cholecystitis[J]. 中国医药导报, 2023, 20(12): 165-168,180.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.12.37 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I12/165

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