Subjects: Nursing >> Nursing submitted time 2023-04-24
Abstract： Objective To explore the application effect of enhanced recovery after surgery (EARS) in gynecological laparoscopy. Methods Totally 87 patients who underwent gynecological laparoscopy were retrospectively analyzed. According to the sequence of hospital admissions, 45 patients in control group received routine perioperative care, and another 42 patients in ERAS group were given EARS-based nursing interventions. Primary outcomes included intraoperative indexes (operation time, intraoperative blood loss and decrease in hemoglobin, postoperative indexes (first time of postoperative off-bed activities, anus exhausting time, length of stay, Visual Analogue Scale on pain at 12 hours after surgery) and postoperative complications such as nausea and vomiting, should and neck pain, abdominal distension. Results The operation time in the ERAS group was shorter than that in the control group (P＜0.05). Patients in the ERAS group had shorter first time of postoperative off-bed activities, anus exhausting time, length of stay, and lower score of VAS pain at 12 hours after surgery compared with those in the control group(P＜0.01). Incidences of nausea and vomiting, should and neck pain, abdominal distension in the ERAS group were lower than those in the control group (P＜0.05). Conclusion The EARS-based nursing is potentially effective to improve the postoperative recovery of patients who underwent gynecological laparoscopy, it may reduce the postoperative pain and complications, and shorten the length of stay of patients.
Peer Review Status:
Awaiting Review
Subjects: Nursing >> Nursing submitted time 2022-12-05
Abstract：
Objective To investigate the role of airway management group in removing tracheotomy cannula for patients with severe acquired brain injury (sABI). Methods This retrospective study enrolled sABI patients with tracheotomy tubes who underwent rehabilitation in Rehabilitation Medicine Center from October 2017 to December 2021. All the subjects were divided into the airway management group as experiment group and routine group as control group. There were 38 patients into control group and 41 patients into experiment group. The characteristics of the length of hospital stay, the time of tracheotomy, hospitalization expenses, and after decannulation, the effective cough, incidence of aspiration, swallowing function, pneumonia infection and antibiotic using rate were used to analyze the factors associated with rehabilitation. Results Patients in the study group had shorter average length of hospital stay, shorter period of indwelling tracheal tube and lower total hospital costs compared with those in the control group (P<0.05). The incidence of aspiration following extubation, aspiration pneumonia and rate of using antibiotics in the study group were lower than those in the control group (P＜0.05). Conclusion The airway management group can effectively improve the comfort of sABI patients, moreover it is potentially effective to reduce the incidence of aspiration and pulmonary infection, reduce the hospitalization expenses and shorten the length of hospital stay.
Peer Review Status:Awaiting Review
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