Liddle Cathy
Birmingham City University, Edgbaston, Birmingham, England.
Nurs Stand. 2018 Aug 24. doi: 10.7748/ns.2018.e11170.
There has been an increase in the number of patients requiring surgery who also have complex medical needs. Factors such as being overweight, the presence of significant comorbidities and an ageing population increase the risks associated with surgical procedures for these individuals. As a result, nurses involved in assessing patients and providing preoperative care require knowledge and understanding of the latest evidence in this area to optimise patient care and outcomes following surgery. This article suggests that optimal outcomes can be achieved by preparing patients for surgery in a holistic manner. It also discusses the role of enhanced recovery after surgery (ERAS) programmes.
需要手术治疗且同时有复杂医疗需求的患者数量有所增加。超重、存在严重合并症以及人口老龄化等因素增加了这些患者手术相关的风险。因此，参与评估患者和提供术前护理的护士需要了解和掌握该领域的最新证据，以优化患者术后护理及治疗效果。本文表明，通过以整体方式为患者进行手术准备可实现最佳治疗效果。本文还讨论了术后加速康复（ERAS）方案的作用。
