摘要
目的探讨加速康复外科(ERAS)理念的护理干预对肱骨骨折全麻手术患儿的影响。方法选取2021年1月至2021年12月来郑州市骨科医院就诊的99例肱骨骨折患儿作为研究对象,随机分为对照组(49例)、观察组(50例)。对照组予以常规围术期护理干预,观察组在对照组基础上予以ERAS理念的护理干预。比较两组病情恢复指标、应激指标[血糖(BG)、肾上腺素(AD)、胰岛素(Ins)、皮质醇(Cor)]、情绪状态、疼痛程度及干预后并发症。结果观察组苏醒时间、排气时间、下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);苏醒期观察组BG、AD、Ins、Cor水平均低于对照组,差异有统计学意义(P<0.05);干预后观察组正性情绪评分高于对照组,负性情绪、VAS评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率(4.00%)低于对照组(18.37%),差异有统计学意义(P<0.05)。结论基于ERAS理念的护理干预能改善肱骨骨折患儿情绪状态,减轻手术应激,缓解其疼痛程度,降低并发症发生率,促进患儿恢复。
Objective To investigate the effect of enhanced recovery after surgery(ERAS)concept nursing intervention on children with humeral fractures undergoing general anesthesia.Methods A total of 99 children with humeral fractures who came to our hospital from January 2021 to December 2021 were selected as the research objects,and they were randomly divided into the control group(49 cases)and the observation group(50 cases).The control group was given routine perioperative nursing intervention,and the observation group was given ERAS concept nursing intervention on the basis of the former.Condition recovery indicators,stress indicators[blood glucose(BG),epinephrine(AD),insulin(Ins),cortisol(Cor)],emotional state,pain degree and post-intervention complications were compared between the two groups.Results The wake-up time,exhaust time,out-of-bed activity time,and hospitalization time of the observation group were all shorter than those of the control group(P<0.05);The levels of BG,AD,Ins and Cor of the observation group during the wake-up period were lower than those of the control group(P<0.05).After the intervention,the positive emotion score in the observation group was higher than that in the control group,while the negative emotion and VAS scores were lower than those in the control group(P<0.05).The complication rate in the observation group(4.00%)was lower than that in the control group(18.37%),and the difference was significantly significant(P<0.05)Conclusion Nursing intervention based on the concept of ERAS can improve the emotional state of children with humeral fractures,reduce the stress of surgery,relieve their pain,reduce the incidence of complications,and promote the recovery of children.
作者
陈丽萍
段华
CHEN Liping;DUAN Hua(Department of Operating Room,Zhengzhou Orthopedic Hospital,Zhengzhou Henan 450000,China)
出处
《临床研究》
2022年第10期161-164,共4页
Clinical Research
关键词
肱骨骨折
应激指标
护理
加速康复外科
humeral fracture
stress index
nursing
enhanced recovery after surgery
