摘要
目的:探讨快速康复理念(enhanced recovery after surgery,ERAS)联合基于现象学分析法的健康干预在肝胆胰疾病患者围术期的应用效果。方法:选取我院2021年1月―2023年1月肝胆胰疾病手术患者161例,根据非随机临床同期对照研究以及患者自愿原则分为对照组76例(常规干预)和干预组85例(快速康复理念联合基于现象学分析法的健康干预)。对比两组术后首次排便时间、下床活动时间、住院时间、住院费用、术后疼痛程度[视觉模拟评分(VAS)]、并发症发生情况、心理困扰程度和满意率。结果:干预组首次排便时间、下床活动时间、住院时间均短于对照组,住院费用少于对照组;术后3 d及8 d干预组VAS评分低于对照组;干预组术后并发症总发生率低于对照组;术后1个月干预组中重度心理困扰程度占比低于对照组;术后1个月后干预组总满意率高于对照组。结论:快速康复理念联合基于现象学分析法的健康干预在肝胆胰疾病患者围术期的应用效果显著,能促进患者术后恢复,减轻患者治疗经济负担,缓解患者术后疼痛及不良心理状态,降低术后并发症发生率,患者满意率高,值得临床应用。
Objective To explore the application effect of enhanced recovery after surgery(ERAS)combined with phenomenological analysis-based health management in perioperative period of patients with hepatobiliary and pancreatic diseases.Methods 161 patients with hepatobiliary and pancreatic disease surgery from January 2021 to January 2023 were selected and classified into control group(76 cases,routine intervention)and intervention group(85 cases,ERAS combined with phenomenological analysis-based health intervention)by the non-randomized clinical concurrent control study and voluntary principle of patients.The first defecation time,ambulation time,hospital stay,hospitalization cost,postoperative pain degree[visual analogue scale(VAS)],complications,psychological distress degree and satisfaction rate were compared between groups.Results The first defecation time,ambulation time and hospital stay in intervention group were shorter,and the hospitalization cost was less compared to control group.The VAS scores in intervention group at 3 and 8 days after surgery were lower than those in control group.The intervention group had lower total incidence rate of postoperative complications.The proportion of moderatesevere psychological distress degree was lower in intervention group at 1 month after surgery.At 1 month after surgery,the total satisfaction rate in intervention group was higher compared with that in control group.Conclusion ERAS combined with phenomenological analysis-based health intervention has a significant application effect in perioperative period of patients with hepatobiliary and pancreatic diseases,and it can promote the postoperative recovery,alleviate the treatment economic burden,relieve the postoperative pain and adverse psychological status,and reduce the incidence rates of postoperative complications,and it has high satisfaction rate.
作者
彭潇潇
童钟
潘爱红
PENG Xiaoxiao;TONG Zhong;PAN Aihong(Department of Hepatobiliary and Pancreatic Surgery,The Third Affiliated Hospital of Anhui Medical University/Hefei First People's Hospital,Hefei 230061,China;Nursing Department,The Third Affiliated Hospital of Anhui Medical University/Hefei First People's Hospital,Hefei 230061,China)
出处
《湖南师范大学学报（医学版）》
2024年第3期157-160,172,共5页
Journal of Hunan Normal University(Medical Sciences)
基金
安徽省卫健委财政重点项目“ALYREF通过P13K-Akt/NF-kB信号轴调控肝细胞癌生长转移的作用研究”(K2023-025)
关键词
快速康复理念
现象学分析法
健康宣教
肝胆胰疾病
围术期
enhanced recovery after surgery
phenomenological analysis
health education
hepatobiliary and pancreatic diseases
perioperative
