ERAS理念全程教育对胸腔镜下肺癌根治术后患者康复的影响.docxVIP

ERAS理念全程教育对胸腔镜下肺癌根治术后患者康复的影响 　　[摘要]目的探討加速康复外科（eras）理念全程教育对肺癌根治术后患者康复的影响。方法将2019年3～6月本院80例拟行胸腔镜肺癌根治手术的患者随机分为实验组40例和对照组40例。对照组在护理过程中选择肺癌围手术期常规健康教育，实验组在对照组的基础上实施加速康复外科理念的全程健康教育，比较两组患者治疗护理依从性、术后并发症发生率及术后恢复情况。结果实验组的治疗护理依从性优良率为97.5%，高于对照组的82.5%，差异有统计学意义（p0.01）;实验组患者术后下床活动时间、首次排便时间、拔管时间、术后住院时间等均较对照组短，两组差异有统计学意义（p0.01）;实验组术后并发症发生率为7.5%，对照组为37.5%，两组差异有统计学意义（p0.05）。结论在护理肺癌根治术患者时实施快速康复外科理念的全程健康教育能够显著提高患者的依从性，保证患者围手术期加速康复措施的有效执行，能降低术后并发症，促进患者康复，减少住院天数，值得临床推广和应用。 　　[关键词]加速康复外科;全程教育;肺癌根治术;康复 　　[中图分类号]r473.6[文献标识码]b[文章编号]1673-9701（2020）08-0165-04 　　effectoferasconceptfull-courseeducationonrehabilitationofpatientsafterthoracoscopicradicallungcancer 　　yuanguoqinzhenglu 　　departmentofcardiothoracicsurgery，hangzhoufirstpeopleshospital，zhejianguniversityschoolofmedicine，hangzhou310006，china 　　[abstract]objectivetoexploretheeffectoftheacceleratedrehabilitationsurgery（eras）conceptfull-courseeducationontherehabilitationofpatientsafterthoracoscopicradicallungcancer.methods80patientsplanningtoundergothoracoscopiclungcancerradicalsurgeryinourhospitalfrommarchtojune2019wererandomlydividedintoexperimentalgroup（n=40）andcontrolgroup（n=40）.thecontrolgroupreceivedroutineperioperativehealtheducationforlungcancerduringthenursingprocess.theexperimentalgroupwasgivenfull-coursehealtheducationontheconceptofacceleratedrehabilitationsurgerybasedonthetreatmentsofthecontrolgroup.thecomplianceoftreatmentandnursing，theincidenceofpostoperativecomplicationsandpostoperativerecoverybetweenthetwogroupswerecompared.resultstheexcellentandgoodrateoftreatmentandnursingcomplianceintheexperimentalgroupwas97.5%，whichwashigherthan82.5%inthecontrolgroup，andthedifferencewasstatisticallysignificant（p0.01）.thetimeofgettingoutofbedaftersurgery，thetimeoffirstdefecation，thetimeofextubation，andthelengthofpostoperativehospitalstayinthecontrolgroupwereshorterthanthoseoftheexperimentalgroup，andthedifferencesbetweenthetwogroupswerestatisticallysignificant（p0.05）.theincidenceofpostoperativecomplicationsinth