将传统护理干预转型为以循证理念为基调的快速康复外科(ERAS)理念的护理模式,从而使腹腔镜患者享受到优质以及科学的临床照护。ERAS理念的护理模式对腹腔镜患者术前,术中和术后管理流程化的优化,降低手术导致的应激反应和并发症的发生,同时缩短住院时间,降低医疗费用,保障患者安全,提升患者满意度等优势。
Shifting traditional nursing intervention into evidence-based enhanced recovery after surgery (ERAS)nursing mode has allowed patients to enjoy high-quality and scientific clinical care.ERAS-based nursing mode can optimize preoperative, intraoperative, and postoperative management procedures for 3D laparoscopic patients, reduce stress response and complications caused by surgery, shorten hospitalization time, save medical expense, ensure patient safety, and improve patient satisfaction.
[1] 贾海明,张文权,米泰宇,谢峰,腹腔镜胆囊切除术患者应用加速康复外科技术对心理应激反应及生化指标的影响[J].中国现代医生, 2017,55(20):13-17.
[2] 陆丽君.基于循证理念的护理策略应用于行腹腔镜治疗的胆囊结石患者对其术后疼痛程度以及生存质量的影响[J].现代中西医结合杂志, 2017,26(34):3867-3869.
[3] 王茂生.快速康复理念在全腹腔镜下结直肠癌微创手术中的应用[J]外科研究与新技术, 2017,3(6):15-16.
[4] Kehlet H, Wilmore D W.Multimodal strategies to improve surgical outcome[J].Am J Surg, 2002,183(6):630-641.
[5] Nelson G, Altman A D, Nick A, et al.Guidelines for pre-and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations—PartⅠ[J].Gynecol Oncol, 2016,140(2):313-322.
[6] Li L, Jin J Y, Min S, et a1.Compliance with the enhanced recovery after surgery protocol and prognosis after eolorectal cancersurgery: a prospective cohort study[J].Oncotarget, 2017,8(32):53531-53541.
[7] 陆航,张锦英.多学科协作模式下ERAS在胃肠外科的应用[J].医学与哲学, 2017,38.
[8] 中华医学会肠外肠内营养学分会加速康复外科协作组.结直肠手术应用加速康复外科中国专家共识(2015 版)[J].中国实用外科杂志, 2015,35(8):841-843.
[9] 刘杨,熊利泽.围术期医学是麻醉学的发展方向[J].中华麻醉学杂志, 2016,36(1):3-4.
[10] 李训海,冯新献,吕震,等.速康复外科理念在腹腔镜胆囊切除术围手术期中的临床应用[J].黑龙江医学, 2017,41(11):1076-1077.
[11] 曾珍秀.腹腔镜下胆囊切除术后并发症的观察与护理体会[J].中国现代药物应用, 2015,9(11):199.
[12] 中国加速康复外科专家组.中国加速康复外科围手术期管理专家共识(2016)[J].中华外科杂志, 2016,54(6):413-418.
[13] 陈珂,牟一平,陈晓武,等.胃癌根治术后常规留置胃管必要性的荟萃分析[J].中华医学杂志, 2012,92(26):1841-1844.
[14] 宋丹丹,李静,李维娜,等.加速康复外科理念在腹腔镜胆囊切除术患者围术期护理中的应用[J].护理实践与研究, 2017,14,(20):61-64.
[15] 邓润菊,胡晓月,李霞,等.加速康复理念在腹腔镜胆囊切除手术围手术期的应用体会[J].腹腔镜外科杂志, 2011,16(2):19-21.
[16] 中国医师协会麻醉学医师分会.促进术后康复的麻醉管理专家共识[J].中华麻醉学杂志, 2015,35(3):141-148.
[17] Mortensen K, Nilsson M, Slim K, et al.Consensus guidelines for enhanced recovery after gatrectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations[J].Br J Surg, 2014,101(10):1209-1229.
[18] 中国研究型医学会肝胆胰外科专业委员会.肝胆胰外科术后加速康复专家共识(2015版)[J].中华消化外科杂志, 2016,15(1):1-6.