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