加速康复外科理念结合路径式健康教育在下肢动脉硬化闭塞症患者护理中的应用

临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (4): 103-.

加速康复外科理念结合路径式健康教育在下肢动脉硬化闭塞症患者护理中的应用

1. 武汉科技大学医学院，湖北武汉 430022；2. 武汉大学人民医院血管外科，湖北武汉 430022

出版日期:2022-10-01 发布日期:2023-01-16

Application of the concept of enhanced recovery after surgery combined with path-based health education in nursing care of patients with lower extremity arteriosclerosis obliterans

1.Medical College of Wuhan University of Science and Technology, Hubei Wuhan 430022, China; 2. Vascular Surgery Department of Renmin Hospital of Wuhan University, Hubei Wuhan 430022, China

Online:2022-10-01 Published:2023-01-16

摘要/Abstract

摘要：

目的探讨加速康复外科(enhanced recovery after surgery,ERAS) 理念结合路径式健康教育在下肢动脉硬化闭塞症(arteriosclerotic obliterans，ASO) 患者护理中的应用价值。方法选取武汉大学人民医院2018 年10 月至2021 年10 月124 例ASO 住院患者作为研究对象，按照随机数字表法分为对照组和ERAS组，每组各62 例，对照组患者围手术期行常规护理干预措施，ERAS 组患者围手术期在常规护理干预的基础上行ERAS 理念结合路径式健康教育的护理干预措施，观察两组患者术后恢复情况及并发症发生率，比较干预前后疾病相关知识掌握情况、心理弹性水平、生活质量变化。结果 ERAS 组患者首次下床时间、住院时间短于对照组，术后视觉模拟评分法评分（visual analogue scale，VAS）、并发症发生率均低于对照组，差异均有显著性(P ＜ 0.05)；ERAS 组患者6 分钟步行试验（6-minute walking test，6MWT）行走距离大于对照组，差异有显著性(P ＜ 0.05)；干预后，两组患者的疾病相关知识得分，心理弹性水平、生活质量评分比干预前高(P ＜ 0.05)，且ERAS 组高于对照组，差异均有显著性(P ＜ 0.05)。结论采取ERAS 理念结合路径式健康教育能有效促进下肢ASO 患者的术后康复，降低术后并发症发生率，提高疾病认知、心理弹性及生活质量。

关键词: 下肢动脉硬化闭塞症, 路径式健康教育, 加速康复外科理念, 围手术期

Abstract:

Objective To explore the application value of enhanced recovery after surgery (ERAS) concept combined with pathologic health education in patients with Arteriosclerotic obliterans (ASO). Method A total of 124 ASO inpatients in Renmin Hospital of Wuhan University from October 2018 to October 2021 were selected as the study subjects. According to the random number table method, they were divided into control group and ERAS group, 62 cases in each group. The control group received routine nursing intervention during perioperative period. ERAS group received perioperative nursing intervention based on routine nursing intervention using ERAS concept combined with path-based health education nursing intervention. Postoperative recovery and incidence of complications were observed between the two groups, and changes in disease-related knowledge, mental resilience

level and quality of life were compared before and after intervention. Result The time of getting out of bed for the first time and hospitalization in ERAS group were shorter than those in the control group. The score of visual analog scale (VAS) and the incidence of complications in ERAS group were lower than those in the control group (P ＜ 0.05); The 6-minute walking test (6MWT) walking distance in ERAS group was significantly higher than that in control group (P ＜ 0.05); After the intervention, the scores of disease related knowledge, psychological resilience and quality of life in the two groups were higher than those before the intervention (P ＜ 0.05), and the ERAS group was higher than the control group, with significant differences (P ＜ 0.05). Conclusion ERAS concept combined with path-based health education can effectively promote postoperative rehabilitation of ASO patients in lower limbs, reduce the incidence of postoperative complications, and improve disease cognition, mental resilience

and quality of life.

Key words: Arteriosclerosis obliterans of lower limbs, Path based health education, Accelerating the concept of rehabilitation surgery, Perioperative period

吕丽琼, 曹晓璐, 景倩, 郭米霞, 杨文雅, 卢玉芝. 加速康复外科理念结合路径式健康教育在下肢动脉硬化闭塞症患者护理中的应用 [J]. 临床普外科电子杂志, 2022, 10(4): 103-.

LV Liqiong, CAO Xiaolu, JING Qian, GUO Mixia, YANG Wenya, LU Yuzhi. Application of the concept of enhanced recovery after surgery combined with path-based health education in nursing care of patients with lower extremity arteriosclerosis obliterans [J]. Journal of General Surgery for Clinicians, 2022, 10(4): 103-.

[1]	阚春燕. 围手术期护理对胃癌根除术患者护理质量的影响 [J]. 临床普外科电子杂志, 2022, 10(2): 102-.
[2]	李娅, 陆静, 朱红梅, 周川宇. 加速康复外科理念下日间腹腔镜胆囊切除术患者术后早期活动方案可行性研究 [J]. 临床普外科电子杂志, 2022, 10(1): 90-.
[3]	徐艾莉. 临床护理路径在甲状腺瘤围手术期护理中的应用价值探析 [J]. 临床普外科电子杂志, 2022, 10(1): 96-.