Observation of the hierarchical care model of ERAS concept in perioperative care of percutaneous nephrolithotripsy
ERAS理念模式在经皮肾镜碎石术围手术期护理中的观察

摘要

目的 分析经皮肾镜碎石术围手术期护理中，采纳快速康复外科（ERAS）理念指导下的分级护理模式所产生的作用效果。方法 我院选取了200名接受经皮肾镜碎石术治疗的患者，并按照随机分配原则，将他们划分成两个组别：对照组患者100例（实施常规护理）与试验组患者100例（采用基于ERAS理念的分级护理模式）。系统地收集、分析了这两组患者的护理效果，并进行了详尽地比较。结果 与对照组相比，试验组患者在术后康复所需时间表现出明显的缩短趋势，其并发症的发生率也呈现出更低的态势，并且试验组患者的满意度也明显优于对照组，这些差异在统计学上均具有显著性意义（P＜0.05）。结论 针对接受经皮肾镜碎石术的患者，实施基于ERAS理念的分级护理模式能够有效缩减其术后恢复时间，减少并发症的出现，提高患者对护理服务的满意度，在临床实践中展现出了显著的疗效和优势。

Abstract

Objective To analyze the effect of the graded nursing model under the guidance of the concept of rapid recovery after surgery (ERAS) in the perioperative nursing of percutaneous nephrolithotomy.
Methods A total of 200 patients who underwent percutaneous nephrolithotomy were selected in our hospital and divided into two groups according to the principle of random allocation: 100 patients in the control group (routine nursing) and 100 patients in the experimental group (adopting a graded nursing model based on the concept of ERAS). The nursing effects of the two groups of patients were systematically collected and analyzed, and a detailed comparison was made.
Results Compared with the control group, the time required for postoperative rehabilitation in the experimental group showed a significant trend of shortening, the incidence of complications was also lower, and the satisfaction of the patients in the experimental group was significantly better than that in the control group. These differences were statistically significant (P < 0.05).
Conclusion   For patients undergoing percutaneous nephrolithotomy, the implementation of a graded nursing model based on the ERAS concept can effectively shorten their postoperative recovery time, reduce the occurrence of complications, and improve patients' satisfaction with nursing services, showing significant efficacy and advantages in clinical practice.