Application of evidence-based enhanced recovery after surgery nursing in perioperative patients withscoliosis
基于循证的加速康复外科护理在脊柱侧凸围术期患者中的应用

摘要

目的 分析基于循证的加速康复外科护理用于脊柱侧凸围术期的价值。方法 对 2020 年 10 月 -2022 年 9 月本科接诊脊柱侧凸手术病人（n=58）进行随机分组，试验和对照组各 29 人，前者采取基于循 证的加速康复外科护理，后者行常规护理。对比首次肛门排气时间等指标。结果 关于住院时间、引流管拔 除时间和首次肛门排气时间，试验组数据比对照组短（P＜0.05）。关于 VAS 评分：术后 6h 和 24h，试验 组数据比对照组低（P＜0.05）。关于并发症，试验组发生率 0.0%，和对照组数据 13.79%相比更低（P＜0.05）。 关于 SDS 和 SAS 评分：试验组数据比对照组低（P＜0.05）。关于满意度，试验组数据 96.55%，和对照组 数据 79.31%相比更高（P＜0.05）。结论 脊柱侧凸围术期用基于循证的加速康复外科护理，并发症发生率 更低，满意度更高，心态更好，疼痛感减轻更加明显，病情恢复也更为迅速。

Abstract

Objective To analyze the value of evidence-based enhanced recovery after surgery nursing in the perioperative period of scoliosis.
Methods A total of 58 undergraduate patients (n=58) with scoliosis surgery from October 2020 to September 2022 were randomly divided into the trial group and the control group, with 29 patients in each group. The former received evidence-based enhanced recovery after surgery nursing, while the latter received routine nursing. Compare the first anal exhaust time and other indicators.
Results The hospital stay, drainage tube removal time and first anal exhaust time were shorter in the experimental group than in the control group (P < 0.05). VAS score: at 6h and 24h after operation, the data of experimental group were lower than that of control group (P < 0.05）. The incidence of complications in the experimental group was 0.0%, which was lower than that in the control group (13.79%) (P < 0.05). Regarding SDS and SAS scores, the data of the experimental group were lower than those of the control group (P < 0.05). As for satisfaction, 96.55% of the experimental group was higher than 79.31% of the control group (P < 0.05).
Conclusion   The evidence-based enhanced recovery after surgery nursing in the perioperative period of scoliosis has lower incidence of complications, higher satisfaction, better mentality, more obvious pain relief, and more rapid recovery.