[1]王志玲,孙子慧,黄栋栋,等.基于快速康复理念的儿童鼾症日间手术术后饮水评估流程改进的探索[J].军事护理,2023,40(07):65-68.[doi:10.3969/j.issn.2097-1826.2023.07.015]
　WANG Zhiling,SUN Zihui,HUANG Dongdong,et al.Exploration on the Improvement of Water Drinking Assessment Process Based on Rapid Rehabilitation Theory among Children with Snoring after Ambulatory Surgery[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(07):65-68.[doi:10.3969/j.issn.2097-1826.2023.07.015]
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基于快速康复理念的儿童鼾症日间手术术后饮水评估流程改进的探索
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年07期
页码:
65-68
栏目:
论著
出版日期:
2023-07-15

文章信息/Info

Title:
Exploration on the Improvement of Water Drinking Assessment Process Based on Rapid Rehabilitation Theory among Children with Snoring after Ambulatory Surgery
文章编号:
2097-1826(2023)07-0065-04
作者:
王志玲; 孙子慧; 黄栋栋; 汪文娟
(东南大学医学院附属南京同仁医院 耳鼻咽喉头颈外科,江苏 南京 211102)
Author(s):
WANG Zhiling; SUN Zihui; HUANG Dongdong; WANG Wenjuan
(Department of Otorhinolaryngology Head and Neck Surgery,Nanjing Tongren Hospital Affiliated to Southeast University School of Medicine,Nanjing 211102,Jiangsu Province,China)
关键词:
快速康复理念;  儿童鼾症;  日间手术;  术后饮水
Keywords:
rapid rehabilitation theory;  children with snoring;  ambulatory surgery;  drinking water after surgery
分类号:
R473.72
DOI:
10.3969/j.issn.2097-1826.2023.07.015
文献标志码:
A
摘要:
目的 探讨基于快速康复理念的儿童鼾症日间手术术后饮水评估流程的改进方案。方法 便利抽样选取2021年4月至2022年4月在某院行儿童鼾症择期手术治疗的300例儿童为研究对象,按入院先后顺序分为对照组150例、试验组150例。对照组采用传统术后4 h饮水方案; 试验组采用Aldrete评分判断麻醉苏醒情况,联合标准吞咽功能评定量表指导患儿早期饮水。结果 试验组术后首次饮水时间为返回病房后0.54 h,对照组为返回病房后4.23 h; 试验组术后6 h口渴、饥饿、哭闹、误吸、疼痛、日间病房转为常规住院模式的发生率均显著低于对照组(均P<0.05); 两组饮水后恶心、呕吐发生率比较,差异无统计学意义(均P>0.05)。结论 Aldrete评分联合标准吞咽功能评定量表在儿童鼾症日间手术快速康复中的应用具有安全性、可行性,缩短了术后禁食水时间,降低了患儿术后6 h不适以及日间病房模式转为常规住院模式的发生率。
Abstract:
Objective To explore the improvement of water drinking assessment process based on rapid rehabilitation theory among children with snoring after ambulatory surgery.Methods Convenient sampling was used to select 300 children with snoring who received scheduled surgery in the department from April,2021 to April,2022.The participants were divided into the control group(150 cases)and experimental group(150 cases)according to the sequence of admission.The control group received traditional 4-hour water drinking plan after surgery.The experimental group were assessed for anesthesia recovery by the Aldrete scoring,and were directed to drink water early with the guidance of Standardized Swallowing Assessment.Results The first water-drinking time after surgery in the experimental group was 0.54h after returning to the ward,and the time in the control group was 4.23h after returning to the ward.The incidences of thirst,hunger,crying,aspiration,pain,and transfer from day-care unit to routine hospitalization mode during 6 hours after surgery in the experimental group were significantly lower than those in the control group(all P<0.05).There were no significantly statistical differences in the incidences of nausea and vomiting after drinking water between the two groups(both P>0.05).Conclusions The application of Aldrete scoring and Standardized Swallowing Assessment in rapid rehabilitation among children with snoring after ambulatory surgery is safe and feasible,which can shorten the time of abstaining from food and water after surgery,and decrease the incidence of discomforts,as well as the transfer from day-care unit to routine hospitalization mode during 6 hours after surgery.

参考文献/References:

[1] 李乐之,路潜.外科护理学[M].6版.北京:人民卫生出版社,2017:111-120.
[2] ENGELHARDT T,WILSON G,HORNE L,et al.Are you hungry? are you thirsty?——Fasting times in elective outpatient pediatric patients[J].Paediatr Anaesth,2011,21(9):964-968.
[3] SHORT H L,HEISS K F,BURCH K,et al.Implementation of an enhanced recovery protocol in pediatric colorectal surgery[J].Pediatr Surg,2018,53(4):688-692.
[4] 徐春艳,康璇,杨丽红,等.医护一体化护理干预促进肝癌患者快速康复的效果[J].解放军护理杂志,2016,33(24):53-55.
[5] 王震,陆群峰.快速康复外科在小儿围术期护理的应用研究进展[J].解放军护理杂志,2018,35(12):43-46,58.
[6] 夏余芝,宋杨,杨见明.探讨早饮水在耳鼻咽喉科儿童全麻术后的作用[J].中国中西医结合耳鼻咽喉科杂志,2022,30(2):153-155,159.
[7] 中国心胸血管麻醉学会日间手术麻醉分会,中华医学会麻醉分会小儿麻醉学组,祝胜美,等.儿童加速康复外科麻醉中国专家共识[J].中华医学杂志,2021,101(31):2425-2432.
[8] 中华医学会外科学分会,中华医学会麻醉学分会,赵玉沛,等.中国加速康复外科临床实践指南(2021版)[J].中国实用外科杂志,2021,41(9):961-992.
[9] 方业珍,劳贤邦,马惠,等.Aldrete苏醒评分在麻醉复苏期患者中的应用[J].齐鲁护理杂志,2017,23(10):60-62.
[10]刘婷,王婉秋,曹萍,等.Aldrete评分在非胃肠道术后患儿早期进食中的应用[J].护理学杂志,2020,35(21):48-49.
[11]孙德峰,侯源源,孙忠良,等.规范化围术期综合评估图(量)表在日间手术模式实施中的应用[J].医学与哲学:B,2017,38(7):80-83,90.
[12]朱旭,高艳红,修杰.老年患者行肠内营养反复误吸的护理体会[J].解放军护理杂志,2011,28(5):58-59.
[13]袁桂影,陈丽欢,黄雪仪.综合防误吸教育在老年脑卒中并吞咽障碍患者照顾者中的应用[J].齐鲁护理杂志,2019,25(13):64-66.
[14]HOOGSTRATEN B,MILLER A B,STAQUET M,et al.WHO(1979)Handbook for reporting results of cancer treatment.WHO offset publication no.48,Geneva[S].Geneva:1979.
[15]WONG D L,BAKER C M.Pain in children:comparison of assessment scales[J].Pediat Nurs,1988,14(1):9-17.
[16]覃倩,王志稳,董秀丽.骨科学龄期儿童全麻术后早期进食进水的研究[J].中华护理杂志,2018,53(4):399-403.
[17]吴新民,罗爱伦,田玉科,等.术后恶心呕吐防治专家意见(2012)[J].临床麻醉学杂志,2012,28(4):413-416.
[18]SMITH I,KRANKE P,MURAT I,et al.Perioperative fasting in adults and children:guidelines from the European Society of Anaesthesiology[J].Eur J Anaesthesiol,2011,28(8):556-569.
[19]汪文娟,周亚琴,何双八,等.专科化游戏干预在眼科学龄前患儿围手术期护理中的应用研究[J].中华护理杂志,2018,53(12):1429-1433.
[20]秦尚够,李素芳,刘丹,等.快速康复理论在小儿全身麻醉术后早期进饮食中的应用[J].中华现代护理杂志,2012,18(23):2755-2758.

备注/Memo

备注/Memo:
【 收稿日期 】 2022-09-22 【 修回日期 】 2023-03-24
【 作者简介 】 王志玲,本科,主管护师,电话:025-66987182
【 通信作者 】 汪文娟,电话:025-66987182
更新日期/Last Update: 2023-07-15