快速康复理念联合基于现象学分析法的健康干预在肝胆胰疾病患者围术期的应用

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Abstract Objective To explore the application effect of enhanced recovery after surgery (ERAS) combined with phenomenological analysis-based health management in perioperative period of patients with hepatobiliary and pancreatic diseases. Methods 161 patients with hepatobiliary and pancreatic disease surgery from January 2021 to January 2023 were selected and classified into control group (76 cases, routine intervention) and intervention group (85 cases, ERAS combined with phenomenological analysis-based health intervention) by the non-randomized clinical concurrent control study and voluntary principle of patients. The first defecation time, ambulation time, hospital stay, hospitalization cost, postoperative pain degree [visual analogue scale (VAS) ], complications, psychological distress degree and satisfaction rate were compared between groups. Results The first defecation time, ambulation time and hospital stay in intervention group were shorter, and the hospitalization cost was less compared to control group. The VAS scores in intervention group at 3 and 8 days after surgery were lower than those in control group. The intervention group had lower total incidence rate of postoperative complications. The proportion of moderate-severe psychological distress degree was lower in intervention group at 1 month after surgery. At 1 month after surgery, the total satisfaction rate in intervention group was higher compared with that in control group. Conclusion ERAS combined with phenomenological analysis-based health intervention has a significant application effect in perioperative period of patients with hepatobiliary and pancreatic diseases, and it can promote the postoperative recovery, alleviate the treatment economic burden, relieve the postoperative pain and adverse psychological status, and reduce the incidence rates of postoperative complications, and it has high satisfaction rate.

Key words： enhanced recovery after surgery phenomenological analysis health education hepatobiliary and pancreatic diseases perioperative

Received: 11 April 2024

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R473.6

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	PENG Xiaoxiao
	TONG Zhong
	PAN Aihong

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PENG Xiaoxiao,TONG Zhong,PAN Aihong. Application of enhanced recovery after surgery combined with phenomenological analysis-based health intervention in perioperative period of patients with hepatobiliary and pancreatic diseases[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(3): 157-160.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I3/157

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