加速康复外科理念护理在儿童发育性髋关节发育不良手术治疗中的应用

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Abstract oom, Anhui Hospital of Children’s Hospital of Fudan University Anhui Children’s Hospital, Anhui Province, Hefei 230051, China; 2.Department of Nursing, Anhui Hospital of Children’s Hospital of Fudan University Anhui Children’s Hospital, Anhui Province, Hefei 230051, China; 3.Department of Orthopedics, Anhui Hospital of Children’s Hospital of Fudan University Anhui Children’s Hospital, Anhui Province, Hefei 230051, China
[Abstract] Objective To explore the application value of enhanced recovery after surgery (ERAS) concept nursing in the surgical treatment of developmental dysplaisa of the hips (DDH) in children. Methods A total of 94 children with DDH who underwent surgery in Anhui Children’s Hospital from June 2018 to December 2019 were prospectively and randomly selected, and they were divided into control group and ERAS group according to different perioperative care methods. The differences of surgery-related indexes, thirst score, hunger score, pain score and satisfaction were compared between the two groups. Results The length of hospital stay and catheter removal time in ERAS group were shorter than those in control group, with statistically significant differences (P ＜ 0.05). Thirst score, hunger scores in two groups were lower than before surgery and the ERAS group were lower than control group, the differences were statistically significant (P ＜ 0.05). Overall analysis showed that there were statistically significant differences between groups, time points and interactions (P ＜ 0.05). Further pairings within the group showed that compared with one hour after surgery, the pain scores of the two groups increased at six hour after surgery, with statistical significance (P ＜ 0.05). Compared with six hour after surgery, the pain score of the two groups decreased 24 h after surgery, with statistical significance (P ＜ 0.05). Compared between groups, the pain scores of patients in ERAS group at 1, 6 and 24 h after surgery were lower than those in control group, with statistical significance (P ＜ 0.05). The scores of parental emotional and psychological support, surgical procedure arrangement and nursing treatment in ERAS group were higher than those in the control group, and nursing satisfaction was higher than that in the control group, with statistical significance (P ＜ 0.05). Conclusion ERAS’concept of nursing can reduce thirst and hunger in children with DDH during perioperative period, alleviate postoperative pain, shorten hospital stay and improve parents’ satisfaction, which is worthy of clinical promotion.

Key words： Enhanced recovery surgery Developmental dysplaisa Children Pain

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	LU Hongmei1 YAO Xiaoyan1 FANG Jihong2 ZHANG Sicheng3 SUN Jun3

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LU Hongmei1 YAO Xiaoyan1 FANG Jihong2 ZHANG Sicheng3 SUN Jun3. Application of enhanced recovery after surgery concept nursing in the surgical treatment of children with developmental dysplasia of the hips#br#[J]. 中国医药导报, 2021, 18(30): 163-167.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I30/163

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