| 孙惠珍,李新文,罗敏,等.基于ERAS理念的腰椎间盘突出病人围术期临床护理路径的构建及效果评价.骨科,2025,16(6): 543-547. |
| 基于ERAS理念的腰椎间盘突出病人围术期临床护理路径的构建及效果评价 |
| Construction and effectiveness evaluation of perioperative clinical nursing pathway for patients with lumbar disc herniation based on ERAS concept |
| 投稿时间：2025-06-21 |
| DOI：10.3969/j.issn.1674-8573.2025.06.011 |
| 中文关键词: 加速康复外科 腰椎间盘突出症 围术期护理 临床路径 |
| 英文关键词: Enhanced recovery after surgery Lumbar disc herniation Perioperative care Clinical pathway |
| 基金项目:石河子大学第一附属医院基金项目（HL2023044） |
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| 中文摘要: |
| 目的 构建基于加速康复外科（enhanced recovery after surgery，ERAS）理念的腰椎间盘突出症（lumbar disc herniation，LDH）病人围术期的临床护理路径并进行效果评价，以期为LDH病人的临床护理实践提供参考。方法 选取2022年5月至2024年6月在我院脊柱外科行内镜下LDH髓核摘除术的200例病人为研究对象。将2022年5月至2023年5月的98例病人纳入对照组，实施常规ERAS护理措施；2023年6月至2024年6月的102病人纳入观察组，实施通过文献分析法及德尔菲专家函询法构建的基于ERAS理念的LDH病人围术期的临床护理路径。结果 观察组病人首次下床时间、排便时间和住院日较对照组明显缩短，术后并发症发生率显著低于对照组，护理满意度明显优于对照组（P＜0.05）。结论 基于ERAS理念的LDH病人围术期临床护理路径能有效规范护理人员的医疗活动，改善病人结局，提高病人住院期间的舒适度。 |
| 英文摘要: |
| Objective To construct a perioperative clinical nursing pathway based on the enhanced recovery after surgery (ERAS) concept for patients with lumbar disc herniation (LDH) and evaluate its effectiveness, aiming to provide a reference for clinical nursing practice in this patient population. Methods A total of 200 patients who underwent LDH surgery in our spinal surgery department from May 2022 to June 2024 were selected as the research subjects. A total of 98 cases admitted from May 2022 to May 2023 were included in the control group and received routine ERAS nursing measures; 102 cases admitted from June 2023 to June 2024 were included in the observation group and received a perioperative clinical nursing pathway based on the ERAS concept for LDH patients, which constructed using literature analysis and Delphi expert inquiry method. Results After the implementation of the intervention pathway, the incidence of postoperative complications in the observation group was lower than that in the control group. The average time to get out of bed, defecation time, and hospital stay were shorter than those in the control group, and satisfaction was higher than that in the control group (P＜0.05). Conclusion Based on the ERAS concept, the perioperative clinical nursing pathway for LDH patients can effectively standardize the medical activities of nursing staff, improve patient outcomes, and enhance patient comfort during hospitalization. |
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