摘要
目的基于加速康复外科理念,开展院前干预联合延续护理,促进胃肠道肿瘤患者的康复。方法术前,在门诊对患者实施医护一体化健康评估,并给予生理、心理、营养方面的预康复干预;出院前进行健康教育,出院后进行家庭康复指导。结果院前干预后患者肺功能、体力活动、心理状态、营养指标优于干预前(P<0.01或P<0.05);经过延续护理,患者术后4周咨询例数减少(P<0.05),出院4周时患者运动、心理状态、营养状况均优于出院时(P<0.05)。结论院前干预可为患者手术创造良好的机体条件,延续护理促进了患者后续的康复,院前干预和延续护理完善和丰富加速康复外科的护理内涵,具有较好临床应用前景。
Objective To develop prehospital intervention and continuing nursing based on the model of enhanced recovery after surgery,in order to accelerate the rehabilitation of gastrointestinal tumors. Methods Before preoperative preparation,to provide integration of medical care health assessment and rehabilitation intervention of physiology,psychology and nutrition for patients in clinics. Patients received health education before discharging and familial rehabilitation guidance after leaving hospital. Results After prehospital intervention,the indicators of lung function,physical activity,mental state and nutrition index were better than those of before（ P〈0. 01 or P〈0. 05）. After continuing care,the consulting cases decreased 4 weeks after surgery（ P〈0. 05） and patients＇ motor function,psychology and nutrition were better 4 weeks after discharged（ P〈0. 05）. Conclusion The prehospital intervention can create well operative conditions for patients and continuing care can accelerate rehabilitation,which promote and enrich nursing concept of enhanced recovery after surgery,and has a good clinical prospect.
出处
《护理管理杂志》
2017年第11期831-833,共3页
Journal of Nursing Administration
关键词
加速康复外科
院前
延续护理
胃肠肿瘤
护理管理
fenhanced recovery after surgery
prehospital
continuing nursing
gastrointestinal tumors
nursing management
