柔性流程管理模式下ERAS在骨科护理中的应用探讨
Application of Flexible Flow Management Mode ERAS Orthopedic Nursing

本文旨在研究如何在柔性流程管理模式下ERAS在骨科护理的应用，研究如何在高度竞争和柔性流程管理模式下通过引用ERAS提升骨科护理服务能力。目的：探讨临床上对人工髓关节置换术患者在柔性流程管理模式下采用加速康复外科理念(ERAS)进行护理的实际效果。方法：对2018年8月~2019年8月来笔者所在医院进行就诊的126例行人工髓关节置换术患者的临床资料进行回顾性研究。按照随机分配的方式将上述患者分为试验组和参照组，每组53例。参照组采用常规管理模式下ERAS护理措施进行术后护理，试验组患者在柔性流程管理模式下采用加速康复外科理念(ERAS)进行护理，对比两组患者术后并发症情况及对护理服务的满意度情况。结果：试验组术后疼痛评分明显低于参照组，比较差异有统计学意义(P < 0.05)；试验组住院时间和治疗费用明显低于参照组，比较差异有统计学意义(P < 0.05)；试验组预后骨关节功能评分明显高于参照组，比较差异有统计学意义(P < 0.05)；试验组护理满意度明显高于参照组，对比差异有统计学意义(P < 0.05)。结论：临床上对行人工髓关节置换术患者在柔性流程管理模式下采用加速康复外科理念(ERAS)进行护理的实际效果显著，有利于提高预后生活质量，此方法值得在临床上进一步推广应用。
This paper aims to study how to applicate the ERAS of orthopedic nursing in flexible process management mode, and how to improve the ability of orthopedic nursing service through citation ERAS in highly competitive and flexible process management mode. Objective: To investigate the clinical effect of accelerated rehabilitation surgery concept (ERAS) for patients undergoing artificial medullary arthroplasty under flexible flow management mode. Methods: The clinical data of 126 patients undergoing artificial medullary arthroplasty from August 2018 to August 2019 were retrospectively studied. The above patients were divided into trial group and reference group according to the method of random allocation, 53 cases in each group. The reference group used routine management mode ERAS nursing measures to carry out postoperative nursing. The patients in the experimental group were treated with the concept of accelerated rehabilitation surgery (ERAS) under flexible process management mode, and the postoperative complications and satisfaction with nursing services were compared between the two groups. Results: The postoperative pain scores in the experimental group were significantly lower than those in the reference group (P).