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强化手术康复护理计划:一种优化术后患者康复的多学科方法。

Enhanced Surgical Recovery Nursing Program: A Multidisciplinary Approach to Optimize Postoperative Patient Recovery.

作者信息

Barboza Hezil Reema, Dsilva Fatima, Lobo Amar Sunil, Moosabba M S, Gurmitkal Balakrishna

机构信息

Department of Medical-Surgical Nursing, Yenepoya Nursing College, Yenepoya Deemed to be University, Mangaluru, Karnataka, India.

Department of Medical-Surgical Nursing, Nitte Usha Institute of Nursing Sciences, NITTE (Deemed to be University), Mangaluru, Karnataka, India.

出版信息

Indian J Crit Care Med. 2025 Jan;29(1):21-26. doi: 10.5005/jp-journals-10071-24870. Epub 2024 Dec 30.

Abstract

BACKGROUND

Enhanced recovery is currently considered to be the treatment of various elective major surgeries. Enhanced recovery after surgery (ERAS) includes applying various perioperative measures, strategies, and active participation of patients in the recovery process.

MATERIALS AND METHODS

A quasi-experimental study was conducted in the surgical units of a hospital in Karnataka, India. Data were collected from patients undergoing elective abdominal surgery ( = 142). Psychological (anxiety) and physiological outcomes (vital capacity, pulse, respiration, and blood pressure) were assessed in experimental and treatment-as-usual groups on preoperative day 1 (2 days before surgery) and preoperative day 2 (1 day before surgery).

RESULTS

The results showed a significant decrease in the state-anxiety scores in the experimental group than in the treatment-as-usual group ( < 0.05). Physiological outcomes such as pain, pulse, respiration, and blood pressure showed a significant decrease in the experimental group than the treatment-as-usual group ( < 0.05). Vital capacity was significantly increased in the experimental group and decreased in the treatment-as-usual group in the postoperative days ( < 0.05). A significant decrease in the length of postoperative stay was seen in the experimental group than in the treatment-as-usual group ( = 0.001). In the experimental group, there were less postoperative complications than in the treatment-as-usual group.

CONCLUSION

Enhanced recovery is considered to be the treatment for various elective major surgeries. It is an essential responsibility of healthcare professionals to improve postoperative outcomes by reducing complications and length of postoperative hospital stay.

HOW TO CITE THIS ARTICLE

Barboza HR, Dsilva F, Lobo AS, Moosabba MS, Gurmitkal B. Enhanced Surgical Recovery Nursing Program: A Multidisciplinary Approach to Optimize Postoperative Patient Recovery. Indian J Crit Care Med 2025;29(1):21-26.

摘要

背景

目前,加速康复被认为是各类择期大手术的治疗方法。术后加速康复(ERAS)包括采取各种围手术期措施、策略以及患者积极参与康复过程。

材料与方法

在印度卡纳塔克邦一家医院的外科病房进行了一项准实验研究。从接受择期腹部手术的患者(n = 142)中收集数据。在术前第1天(手术前2天)和术前第2天(手术前1天),对实验组和常规治疗组的患者进行心理(焦虑)和生理指标(肺活量、脉搏、呼吸和血压)评估。

结果

结果显示,实验组的状态焦虑评分显著低于常规治疗组(P < 0.05)。实验组的疼痛、脉搏、呼吸和血压等生理指标较常规治疗组显著降低(P < 0.05)。术后几天,实验组的肺活量显著增加,常规治疗组则下降(P < 0.05)。与常规治疗组相比,实验组的术后住院时间显著缩短(P = 0.001)。实验组的术后并发症少于常规治疗组。

结论

加速康复被认为是各类择期大手术的治疗方法。医护人员的一项重要职责是通过减少并发症和缩短术后住院时间来改善术后结局。

如何引用本文

Barboza HR, Dsilva F, Lobo AS, Moosabba MS, Gurmitkal B. 强化手术康复护理计划:优化术后患者康复的多学科方法。《印度重症监护医学杂志》2025;29(1):21 - 26。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edf/11719543/bcf3b83384df/ijccm-29-21-e001.jpg

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