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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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

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	ZHANG Yu

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ZHANG Yu. Clinical nursing pathway combined with ERAS high quality nursing in children with hirschsprung disease after resection[J]. 中国医药导报, 2021, 18(27): 178-181.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I27/178

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