Application of fast track surgical nursing in perioperative period of patients with rib fracture internal fixation
快速康复外科护理在肋骨骨折内固定术患者围手术期中的应用

摘要

目的 探讨在肋骨骨折患者（内固定术治疗）围手术期中采用快速康复外科护理（ERAS）的应用价值。方法 选取2022.5-2023.5本院行内固定术治疗的48例肋骨骨折患者，根据随机抽样法分组，观察组（ERAS护理方案，24例），对照组（常规围术期护理方案，24例）。对比两组干预前和干预第1、4周的疼痛指数（VAS）和睡眠质量（PSQI量表），以及两组护理后的康复指标和并发症情况。结果 干预后第1、4周观察组的VAS、PSQI评分均低于对照组，且患者首次离床活动、术口愈合时间、总住院时间均短于对照组，并发症发生率低于对照组（P＜0.05）。结论 在肋骨骨折后行内固定术治疗患者的围术期内采取ERAS护理能提高护理效果，促进患者尽早康复。

Abstract

Objective To explore the application value of rapid rehabilitation Surgical Nursing (ERAS) in the perioperative period of rib fracture patients (internal fixation).
Methods 48 patients with rib fracture treated with internal fixation in our hospital from May 2022 to may 2023 were selected and divided into observation group (eras nursing scheme, 24 cases) and control group (routine perioperative nursing scheme, 24 cases) according to random sampling method. The pain index (VAS) and sleep quality (PSQI scale) of the two groups before the intervention and the first and fourth weeks of the intervention, as well as the rehabilitation indicators and complications of the two groups after nursing were compared.
Results At 1 and 4 weeks after the intervention, the vas and PSQI scores of the observation group were lower than those of the control group, and the patients' first ambulation, the healing time of the operation mouth, and the total hospital stay were shorter than those of the control group, and the incidence of complications was lower than that of the control group (P < 0.05).
Conclusion   eras nursing in the perioperative period of patients with rib fracture treated with internal fixation can improve the nursing effect and promote the early recovery of patients.