基于ERAS理念的护理方案在风湿性心脏病围术期中的应用OA
Application of Nursing Program Based on ERAS Concept in Perioperative Period of Rheumatic Heart Disease
目的 分析风湿性心脏病围术期开展基于快速康复外科(ERAS)理念的护理方案的应用价值.方法 选取2020 年 3 月至 2022 年 3 月周口市中心医院收治的 82 例风湿性心脏病手术患者,按简单随机化法分组.对照组(41例)接受常规围术期护理干预,研究组(41 例)接受基于ERAS理念的护理方案.记录两组围术期相关指标,对比两组干预前后血清心肌损伤相关指标变化情况、心理情绪评分、症状自评量表(SCL-90)、医学应对方式问卷(MCMQ)评分,记录两组术后并发症发生率.结果 研究组拔管、排便、下床活动、住院时间均短于对照组,差异有统计学意义(P＜0.05);研究组干预后血清BNP、CK-MB水平低于对照组,差异有统计学意义(P＜0.05);研究组干预后汉密顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、SCL-90 评分低于对照组,差异有统计学意义(P＜0.05);研究组干预后面对评分高于对照组,屈服、回避评分低于对照组,差异有统计学意义(P＜0.05);研究组并发症发生率(4.88%)低于对照组(21.95%),差异有统计学意义(P＜0.05).结论 基于ERAS理念的护理方案可缩短风湿性心脏病手术患者术后恢复时间,改善负性情绪状态及疾病应对方式,降低术后并发症发生风险,下调血清BNP、CK-MB水平.
Objective To analyze the application value of nursing program based on Enhanced Recovery After Surgery(ERAS)concept in the perioperative period of rheumatic heart disease.Methods Eighty-two patients undergoing surgery for rheumatic heart disease admitted to Zhoukou City Central Hospital from March 2020 to March 2022 were selected and divided into two groups by simple randomization method.The control group(41 cases)received routine perioperative nursing intervention,and the study group(41 cases)received nursing program based on ERAS concept.Perioperative related indicators of the two groups were recorded,and the changes of serum myocardial injury related indicators,psychological emotions score,Symptom Checklist-90(SCL-90),and Medical Coping Modes Questionnaire(MCMQ)score before and after intervention in both groups were compared.The incidence of postoperative complications in both groups was recorded.Results The extubation,defecation,mobilization,and length of hospital stay in the study group were shorter than those in the control group,and the differences were statistically significant(P＜0.05);the serum BNP and CK-MB levels after intervention in the study group were lower than those in the control group,and the differences were statistically significant(P＜0.05);the Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),and SCL-90 scores after intervention in the study group were lower than those in the control group,and the differences were statistically significant(P＜0.05);the coping score after intervention in the study group was higher than that in the control group,and the surrender and avoidance scores were lower than those in the control group,with statistically significant differences(P＜0.05);the incidence of complications in the study group(4.88%)was lower than that in the control group(21.95%),and the difference was statistically significant(P＜0.05).Conclusion Nursing program based on ERAS concept can shorten the postoperative recovery time of patients with rheumatic heart disease,improve negative emotional status and disease coping methods,reduce the risk of postoperative complications,and decrease serum BNP and CK-MB levels.
崔雪苹
周口市中心医院 心脏大血管外科病区,河南 周口 466000
临床医学
风湿性心脏病快速康复外科理念心理状态应对方式
rheumatic heart diseaseenhanced recovery after surgery conceptpsychological statuscoping methods
《临床研究》 2024 (006)
154-157 / 4
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