术后加速康复对恶性梗阻性黄疸合并糖尿病患者的影响。
Effect of enhanced recovery after surgery on patients with malignant obstructive jaundice complicated with diabetes mellitus.
作者信息
Yan Huijun, Qi Shuangyu, Cui Linlin, Xu Binghui, Du Guimei
机构信息
Department of Hepatobiliary and Pancreatic Surgery, Hengshui People's Hospital Hengshui, Hebei Province, China.
Electroencephalogram Room, The No.4 People's Hospital of Hengshui, Orthopedics Department Hospital Hengshui, Hebei Province, China.
出版信息
Am J Transl Res. 2021 Mar 15;13(3):1870-1876. eCollection 2021.
OBJECTIVE
To explore the effect of enhanced recovery after surgery on patients with malignant obstructive jaundice complicated with diabetes mellitus.
METHODS
Patients with malignant obstructive jaundice complicated with diabetes mellitus received surgery in Hengshui People's Hospital were divided into two groups: patients in one group received routine care (routine care group, RC group), and patients in another group received enhanced recovery after surgery on the basis of routine care (accelerated care group, AC group). The differences in patients' satisfaction with care and nursing effects between the two groups were compared.
RESULTS
The scores of nursing effects such as nursing records and surgical safety in the RC group were significantly lower than those in the AC group (P<0.001). The psychological state of patients in the AC group was better than that in the RC group after care (P<0.001). The nursing-sensitive quality indicators, the quality of life scores and the patients' nursing satisfaction in the AC group were all higher than those in the RC group (P<0.001). The incidence of adverse events in the AC group was significantly lower than that in the RC group (P=0.01).
CONCLUSION
Compared with routine care, the effect of enhanced recovery after surgery is better on patients with malignant obstructive jaundice complicated with diabetes mellitus.
目的
探讨术后加速康复对恶性梗阻性黄疸合并糖尿病患者的影响。
方法
将在衡水市人民医院接受手术治疗的恶性梗阻性黄疸合并糖尿病患者分为两组：一组患者接受常规护理（常规护理组，RC组），另一组患者在常规护理基础上接受术后加速康复（加速护理组，AC组）。比较两组患者对护理的满意度及护理效果的差异。
结果
RC组护理记录、手术安全性等护理效果评分显著低于AC组（P<0.001）。护理后AC组患者心理状态优于RC组（P<0.001）。AC组护理敏感质量指标、生活质量评分及患者对护理的满意度均高于RC组（P<0.001）。AC组不良事件发生率显著低于RC组（P=0.01）。
结论
与常规护理相比，术后加速康复对恶性梗阻性黄疸合并糖尿病患者的效果更佳。
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