护理捆绑在老年结直肠癌患者术后恢复中的应用。
Application of Care Bundles in Postanesthesia Recovery for Elderly Patients with Colorectal Cancer.
机构信息
Department of Nursing, Recovery Room, Department of Anesthesiology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310009, China.
Department of Nursing, Operation Room, Department of Anesthesiology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310009, China.
出版信息
Comput Math Methods Med. 2022 Jun 21;2022:7669889. doi: 10.1155/2022/7669889. eCollection 2022.
OBJECTIVE
Based on the postanesthesia recovery procedure for elderly patients with colorectal cancer, a care bundle program was conducted to validate its effectiveness.
METHOD
According to the characteristics of elderly patients with colorectal cancer, five measures including respiratory management, circulatory stability, pain assessment, body temperature monitoring, and internal environment stability were integrated into one bundle. Postanesthesia care unit (PACU) care bundle program for elderly patients was developed and used to improve recovery care. The monitoring data of the pre-PACB group given care bundles were collected and compared with the data of the post-PACB group who were given conventional recovery care.
RESULT
222 patients in post-PACB group had shorter intubation time than 291 patients in pre-PACB group (37.7 ± 24.4 min vs. 42.1 ± 23.3 min, < 0.05). The length of stay in PACU was longer in pre-PACB group (89.9 ± 33.5 min vs. 81.6 ± 31.1 min, < 0.05). More adverse events were found in the post-PACB group than in the pre-PACB group (72.1% vs. 34.0%).
CONCLUSION
After general anesthesia of patients with colorectal cancer, the application of the care bundles can improve the quality of recovery, shorten the intubation time and the length of stay in PACU, and reduce the complications caused by anesthesia.
目的
基于老年结直肠癌患者的麻醉后恢复程序，开展了一个护理套餐项目，以验证其有效性。
方法
根据老年结直肠癌患者的特点，将 5 项措施（呼吸管理、循环稳定、疼痛评估、体温监测和内环境稳定）整合到一个护理套餐中。制定并使用麻醉后恢复护理单元（PACU）老年患者护理套餐，以改善恢复护理。收集并比较接受护理套餐的 PACB 后组和接受常规恢复护理的 PACB 前组的监测数据。
结果
PACB 后组 222 例患者的插管时间短于 PACB 前组的 291 例（37.7±24.4 min 比 42.1±23.3 min， < 0.05）。PACB 前组的 PACU 停留时间较长（89.9±33.5 min 比 81.6±31.1 min， < 0.05）。PACB 后组的不良事件发生率高于 PACB 前组（72.1%比 34.0%）。
结论
在结直肠癌患者全身麻醉后，护理套餐的应用可以提高恢复质量，缩短插管时间和 PACU 停留时间，并减少麻醉引起的并发症。
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