胸腔鏡下縱隔腫瘤切除圍術(shù)期快速康復(fù)系統(tǒng)化護(hù)理方案的構(gòu)建

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基金項(xiàng)目 河南省醫(yī)學(xué)科技攻關(guān)計(jì)劃聯(lián)合共建項(xiàng)目，編號(hào)：LHGJ20200561

作者簡(jiǎn)介 汪佳麗，主管護(hù)師，碩士，E?mail：F92J89@126.com

引用信息 汪佳麗，付闖，李興旺，等.胸腔鏡下縱隔腫瘤切除圍術(shù)期快速康復(fù)系統(tǒng)化護(hù)理方案的構(gòu)建[J].護(hù)理研究，2024，38（13）：2311?2317.

Construction of perioperative rapid rehabilitation systematic nursing plan for mediastinal tumor resection under thoracoscopy

WANG Jiali， FU Chuang， LI Xingwang， YU Qianying， ZHANG Yunxia

Huaihe Hospital of Henan University， Henan 475000 China

Corresponding Author  WANG Jiali， E?mail： F92J89@126.com

Abstract  Objective：To construct a perioperative rapid rehabilitation systematic nursing plan for mediastinal tumor resection under thoracoscopy，to provide references for postoperative rapid rehabilitation of patients with mediastinal tumor resection under thoracoscopy.Methods：Through systematic literature review and expert interviews，the Delphi method method was used to construct the perioperative rapid rehabilitation systematic nursing plan for mediastinal tumor resection under thoracoscopy.Results：The recovery rates of correspondence questionnaires of both rounds were 100%，and Kendall's W were 0.262 and 0.327（both P<0.001），the expert authority coefficients was 0.832，0.873.The constructed perioperative enhanced recovery system nursing plan for thoracoscopic mediastinal tumor resection included 6 first?level indicators，18 second-level indicators and 49 third?level indicators， including preoperative preparation， preoperative pre?rehabilitation，intraoperative management， postoperative management， discharge guidance and post-discharge management.Conclusion：The systematic perioperative rapid rehabilitation nursing plan for thoracoscopic mediastinal tumor resection is scientific，reliable，comprehensive and specific，with strong clinical applicability.

Keywords    mediastinal tumor resection under thoracoscopy； enhanced recovery after surgery， ERAS； systematic nursing； surgical nursing； Delphi method

摘要  目的：構(gòu)建胸腔鏡下縱隔腫瘤切除圍術(shù)期快速康復(fù)系統(tǒng)化護(hù)理方案，為胸腔鏡下縱隔腫瘤切除病人的術(shù)后快速康復(fù)提供參考。（剩余11666字）