基于流程管理理论的加速康复外科术前饮食管理模式的应用效果

doi:10.3760/cma.j.cn115682-20200825-05050

科研成果详情

题名	基于流程管理理论的加速康复外科术前饮食管理模式的应用效果
其他题名	Application of preoperative diet management model of enhanced recovery after surgery based on process management theory
作者	夏丽敏1; 林虹1; 项晓1; 徐小群2
发表日期	2021
发表期刊	中华现代护理杂志影响因子和分区
语种	中文
原始文献类型	Periodical
关键词	围手术期护理加速康复外科饮食管理流程管理禁食禁饮
其他关键词	Preoperative nursing ; Enhanced recovery after surgery ; Diet management ; Process management ; Fasting and water deprivation
摘要	目的:探讨基于流程管理理论构建加速康复外科（ERAS）术前饮食管理模式，并分析新模式在临床实践中的应用效果。方法:采用便利抽样的方法，选择温州医科大学附属第一医院结直肠外科2018年11月—2019年2月手术患者120例为对照组，术前采用常规禁食禁饮管理方案；选择2019年5—9月的118例手术患者为试验组，基于流程管理理论构建ERAS术前饮食管理模式，指导护士根据管理模式行术前禁食禁饮护理工作。比较两组患者术前饮食管理实施效果及满意度。结果:试验组术前实际禁食为（6.53±0.86）h，禁饮时间为（2.74±0.76）h，均短于对照组，差异有统计学意义（ t值分别为20.85、36.31； P<0.01）。试验组患者对新流程的满意度为（98.03±1.81）分，护士对新流程执行满意度为（98.47±1.42）分，均高于对照组，差异有统计学意义（ t值分别为-33.57、-13.29； P<0.01）。结论:基于流程管理理论的ERAS术前饮食管理模式能够提供合理有效的护理工作路径，改善患者术前不适体验，提高患者满意度。
其他摘要	Objective:To study how to construct the preoperative diet management mode of enhanced recovery after surgery (ERAS) based on process management theory, and the application effect of the new model in clinical practice.Methods:By convenience sampling method, 120 patients of colorectal surgery in the First Affiliated Hospital of Wenzhou Medical University from November 2018 to February 2019 were selected as the control group, and were treated with routine fasting and water deprivation management plan. A total of 118 patients from May to September 2019 were selected as the test group, and the new preoperative diet management process was used to guide nurses to prepare for preoperative fasting and water deprivation. The implementation effect of preoperative diet management and the satisfaction of patients and nurses to the process were evaluated.Results:The actual preoperative fasting time of the experimental group was (6.53±0.86) hours, and the time of water deprivation was (2.74±0.76) hours, which were both significantly shorter than those of the control group, and the differences were statistically significant ( t=20.85, 36.31; P< 0.01) . The satisfaction of patients in the experimental group to the new process was (98.03±1.81) , and the satisfaction of nursing staff was (98.47±1.42) , which were both higher than those of the control group, and the differences were statistically significant ( t=-33.57, -13.29; P<0.01) . Conclusions:The ERAS preoperative diet management model based on process management theory can provide reasonable and effective work path, improve the preoperative discomfort experience and patient satisfaction.
资助项目	浙江省温州市科技局项目(Y20180354)。
ISSN	1674-2907
卷号	27 期号:11 页码:1450-1454
DOI	10.3760/cma.j.cn115682-20200825-05050
页数	5
收录类别	万方 ; 维普 ; ISTIC
URL	查看原文
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/142316
专题	温州医科大学附属第一医院_护理部
作者单位	1.温州医科大学附属第一医院结直肠肛门外科，温州　325000; 2.温州医科大学附属第一医院护理部，温州　325000
第一作者单位	温州医科大学
第一作者的第一单位	温州医科大学
推荐引用方式 GB/T 7714	夏丽敏,林虹,项晓,等. 基于流程管理理论的加速康复外科术前饮食管理模式的应用效果[J]. 中华现代护理杂志,2021,27(11):1450-1454.
APA	夏丽敏, 林虹, 项晓, & 徐小群. (2021). 基于流程管理理论的加速康复外科术前饮食管理模式的应用效果. 中华现代护理杂志, 27(11), 1450-1454.
MLA	夏丽敏,et al."基于流程管理理论的加速康复外科术前饮食管理模式的应用效果".中华现代护理杂志 27.11(2021):1450-1454.