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术后加速康复的护理视角。

Nursing Perspectives on Enhanced Recovery After Surgery.

机构信息

Department of Quality and Patient Safety, UAB Hospital, 619 19th Street South JT1450, Birmingham, AL 35249, USA.

Quality, Patient Safety and Clinical Effectiveness, UAB Hospital, 619 19th Street South JT1402, Birmingham, AL 35249, USA.

出版信息

Surg Clin North Am. 2018 Dec;98(6):1211-1221. doi: 10.1016/j.suc.2018.07.008. Epub 2018 Aug 24.

Abstract

A growing body of evidence suggests that the implementation of an enhanced recovery after surgery (ERAS) clinical pathway can accelerate recovery and reduce length of stay through the use of a multimodal program that includes guidelines for optimal pain relief, stress reduction, early nutrition, and early mobilization. The article discusses the importance of the nursing body in improving institutional compliance to ERAS clinical pathway measures and describes specific nursing barriers observed in the ERAS implementation in an academic medical center.

摘要

越来越多的证据表明,通过实施强化术后康复(ERAS)临床路径,可以利用包括最佳止痛、减压、早期营养和早期活动等指南的多模式方案,加速康复并缩短住院时间。本文讨论了护理团队在提高机构对 ERAS 临床路径措施的依从性方面的重要性,并描述了在学术医疗中心实施 ERAS 过程中观察到的具体护理障碍。

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