加速康复外科精准护理研究进展
doi:
基金项目: 中央高水平医院临床科研专项(No. 2022-PUMCH-B-031)和中国医学科学院医学与健康科技创新工程项目(No. 2022-I2M-C&T-B-021)资助
-
摘要: 随着医学理念的更新和发展,精准医学和精准护理相关研究不断扩充和深入,给加速康复外科护理实践带来新的挑战和机遇。本文对加速康复外科精准护理相关研究现况进行综述,从精准护理评估、精准症状管理、精准营养管理、精准健康教育及精准护理随访等4个方面,介绍了精准护理在加速康复外科中的应用情况。并分析了精准护理在加速康复外科进一步推广应用面临的挑战和应对措施,包括夯实专业基础、搭建护理信息平台、积极应用新工具和新技术等。未来护理人员应进一步运用精准护理相关理念和方法,优化和完善围手术期患者护理策略,保障患者安全,提升护理质量,改善患者结局,推动精准护理在加速康复外科中发挥更重要的作用。Abstract: With the evolution and development of the concepts of medicine, research concerning precision medicine and precision nursing is constantly expanding and deepening, creating new challenges and opportunities for the nursing practice of enhanced recovery after surgery (ERAS). In this paper, we reviewed the current status of research on precision nursing for ERAS, giving an overview of the application status of precision nursing in ERAS from the perspectives of precision nursing assessment, precision symptom management, precision nutrition support, and precision health education and nursing follow-up. In addition, we analyzed the challenges and their solutions for further promotion and application of precision nursing in ERAS, including strengthening the basic professional knowledge and skills, building a nursing information platform, and actively applying new tools and technologies. In the future, clinical nursing staffs should further utilize the relevant concepts and methods of precision nursing to optimize and improve perioperative patient care strategies, ensure patient safety, enhance the quality of nursing care, improve patient outcomes, and promote a more important role played by precision nursing in ERAS.
-
Key words:
- Enhanced recovery after surgery /
- Precision nursing /
- Research progress /
- Perioperative care /
- Review
-
[1] STENBERG E, DOS R F L, O'KANE M, et al. Guidelines for perioperative care in bariatric surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations: a 2021 update. World J Surg,2022,46(4): 729–751. doi: [2] ENGELMAN D T, BEN A W, WILLIAMS J B, et al. Guidelines for perioperative care in cardiac surgery: Enhanced Recovery After Surgery Society recommendations. JAMA Surg,2019,154(8): 755–766. doi: [3] 刘子嘉, 张路, 刘洪生, 等. 基于加速术后康复的胸外科手术预康复管理专家共识(2022). 协和医学杂志,2022,13(3): 387–401. doi: [4] NELSON G, BAKKUM-GAMEZ J, KALOGERA E, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update. Int J Gynecol Cancer,2019,29(4): 651–668. doi: [5] RILEY C L. Anesthesia and enhanced recovery after surgery in bariatric surgery. Anesthesiol Clin,2022,40(1): 119–142. doi: [6] WAINWRIGHT T W, JAKOBSEN D H, KEHLET H. The current and future role of nurses within enhanced recovery after surgery pathways. Br J Nurs,2022,31(12): 656–659. doi: [7] IELAPI N, ANDREUCCI M, LICASTRO N, et al. Precision medicine and precision nursing: the era of biomarkers and precision health. Int J Gen Med,2020,13: 1705–1711. doi: [8] 张格, 李燕, 孙盛楠, 等. 基因组护理学在肿瘤精准护理领域的应用与启示. 中国护理管理,2022,22(12): 1883–1887. doi: [9] 邢燕青, 赵文晓, 陈杰, 等. 精准健康在护理症状学研究中的发展现状和挑战. 护理研究,2021,35(13): 2336–2340. doi: [10] 常承婷, 刘雨薇, 田亚丽, 等. 精准护理的研究进展. 中国科学:生命科学,2022,52(11): 1731–1737. doi: [11] 周雁荣, 张雅芝, 陈莹莹, 等. 冠状动脉旁路移植术患者加速康复标准化护理流程实践. 护理学杂志,2021,36(16): 22–25. doi: [12] 王妍丽, 盛维青, 吕国翠. 精准护理在老年髋关节置换患者早期康复中的应用研究. 护理管理杂志,2022,22(5): 342–346. [13] LIU Q, WANG F, WANG G, et al. Recent evidence and progress for developing precision nursing in symptomatology: a scoping review. Int Nurs Rev,2023. doi: [14] 刘丽霞, 毛剑婷, 黄旭芳, 等. 基于循证的精准护理模式对肝癌介入患者围术期心理应激及术后并发症的影响. 中华全科医学,2022,20(3): 527–530. doi: [15] THURSTON K L, ZHANG S J, WILBANKS B A, et al. A systematic review of race, sex, and socioeconomic status differences in postoperative pain and pain management. J Perianesth Nurs,2023,38(3): 504–515. doi: [16] MCCALL E, SHORES R, MCDONOUGH J. The effectiveness of ERAS guidelines in reducing postoperative pain. Worldviews Evid Based Nurs,2022,19(4): 338–340. doi: [17] 吴珍珍, 甘艳玲, 程云. 精准护理在我国临床实施的现状及展望. 中国临床护理,2019,11(4): 360–363. doi: [18] 刘曼, 邢益辉. 加速康复外科理念在老年食管癌病人营养管理中的应用. 实用老年医学,2023,37(5): 483–486. doi: [19] 陈彦婧, 张丽丹, 朱立艳, 等. 全程精准化健康教育在眼科日间手术患者中的应用. 齐鲁护理杂志,2022,28(20): 152–153. [20] 王雅磊, 陈佳丽, 宁宁, 等. 基于加速康复外科理念的颈椎前路手术患者术后早期下床活动的华西方案. 华西医学,2021,36(10): 1419–1423. doi: [21] 曹晖, 陈亚进, 顾小萍, 等. 中国加速康复外科临床实践指南(2021版). 中国实用外科杂志,2021,41(9): 961–992. doi: [22] 贾丽琴, 雷颖, 杨志宏. 延续性精准护理对伴有糖尿病的口腔种植患者知信行的影响. 护士进修杂志,2020,35(14): 1313–1316. doi: [23] 王丹, 李俊英, 李琪, 等. 肿瘤患者共享信息随访平台及精准护理随访模式探索. 西南国防医药,2021,31(3): 236–239. [24] 叶志霞. 加速康复外科理念在肝切除围手术期护理中的应用思考. 上海护理,2022,22(10): 1–5. doi: [25] 彭贵凌, 赵媛. 加速康复外科理念下信息化延续护理在老年髋部脆性骨折患者中的应用. 中华现代护理杂志,2021,27(8): 1000–1005. doi: [26] YU Y, LI M, KANG R, et al. The effectiveness of telephone and internet-based supportive care for patients with esophageal cancer on enhanced recovery after surgery in China: a randomized controlled trial. Asia Pac J Oncol Nurs,2022,9(4): 217–228. doi: [27] SENSMEIER J. Forging a path to precision health. Nurs Manage,2022,53(11): 34–38. doi: [28] JENSEN B T, RETINGER N L, LAURIDSEN S V. From fast-track to enhanced recovery after surgery in radical cystectomy pathways: a nursing perspective. Asia Pac J Oncol Nurs,2022,9(7): 100048. doi: -
© 2023《湖北大学专业学报(医药学版)》添加部 转播权大部分
𝕴開放得到 本文遵循知识共享署名—非商业性使用4.0国际许可协议(CC BY-NC 4.0),允许第三方对本刊发表的论文自由共享(即在任何媒介以任何形式复制、发行原文)、演绎(即修改、转换或以原文为基础进行创作),必须给出适当的署名,提供指向本文许可协议的链接,同时标明是否对原文作了修改;不得将本文用于商业目的。CC BY-NC 4.0许可协议详情请访问 //creativecommons.org/licenses/by-nc/4.0

计量
- 文章访问数: 22
- HTML全文浏览量: 4
- PDF下载量: 1
- 被引次数: 0