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弥漫性子宫腺肌病病人PUSH术的加速康复外科路径构建

余颖娟 谢日华

护理研究2025,Vol.39Issue(10):1613-1619,7.
护理研究2025,Vol.39Issue(10):1613-1619,7.DOI:10.12102/j.issn.1009-6493.2025.10.005

弥漫性子宫腺肌病病人PUSH术的加速康复外科路径构建

Construction of enhanced recovery after surgery pathway of PUSH surgery for patients with diffuse adenomyosis

余颖娟 1谢日华2

作者信息

  • 1. 南方医科大学护理学院,广东 510515||北京大学深圳医院
  • 2. 南方医科大学护理学院,广东 510515||佛山市妇幼保健院(妇女儿童医学研究中心)
  • 折叠

摘要

Abstract

Objective:To construct enhanced recovery after surgery(ERAS)pathway of fertility preservative surgery for diffuse uterine pathologies with protection of uterine structures for healing(PUSH)for patients with diffuse adenomyosis.Methods:The ERAS pathway of PUSH surgery for patients with diffuse adenomyosis was constructed through literature review and Delphi method.Results:The response rates for the 2 rounds of expert inquiry questionnaires were 100.00%and 95.65%,respectively.The expert authority coefficients both were 0.88.The Kendall's W of the secondary indicators were 0.249 and 0.259,respectively.And the Kendall's W of the tertiary indicators were 0.209 and 0.241,respectively(all P<0.001).The ERAS pathway of PUSH surgery for patients with diffuse adenomyosis ultimately formed.It included 7 first-level indicators and 44 second-level indicators and 76 three-level indicators.Conclusions:The ERAS pathway of PUSH surgery for patients with diffuse adenomyosis is scientific,reliable,and practical.

关键词

弥漫性子宫腺肌病/子宫重建/保留生育力/加速康复外科(ERAS)/PUSH术/临床路径/德尔菲法/护理

Key words

diffuse adenomyosis/uterine reconstruction/fertility preserving/enhanced recovery after surgery,ERAS/PUSH surgery/clinical pathway/Delphi method/nursing

引用本文复制引用

余颖娟,谢日华..弥漫性子宫腺肌病病人PUSH术的加速康复外科路径构建[J].护理研究,2025,39(10):1613-1619,7.

基金项目

国家重点研发计划资助项目,编号:2024YFC2707503 ()

护理研究

OA北大核心

1009-6493

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