主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (11): 1601-1605.doi: 10.3969/j.issn.1672-1756.2023.11.001

• 特别策划·加速康复外科护理管理 •    下一篇

护士主导加速康复外科临床路径信息化系统的构建与实践

兰美娟 徐彩娟 韩娜菲 张玉萍 卢婕楠 赵巧梅 陈盈   

  1. 浙江大学医学院附属第二医院护理部，310009 杭州市（兰美娟，徐彩娟，张玉萍）；胸外科（韩娜菲，陈盈）；肝胆胰外科（卢婕楠，赵巧梅）
  • 出版日期:2023-11-15 发布日期:2023-11-15
  • 通讯作者: 徐彩娟，硕士，主任护师，外科科护士长，E-mail:xucaijuan@zju.edu.cn
  • 作者简介:兰美娟，硕士，主任护师，护理部主任
  • 基金资助:
    浙江大学2022年省教育厅一般科研项目（Y202249636）；2022年浙江省卫生健康科技计划（2022KY819）

Construction and practice of a nurse-led Enhanced Recovery After Surgery clinical pathway information system

LAN Meijuan, XU Caijuan, HAN Nafei, ZHANG Yuping, LU Jienan, ZHAO Qiaomei, CHEN Ying   

  1. Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China
  • Online:2023-11-15 Published:2023-11-15
  • Contact: E-mail:xucaijuan@zju.edu.cn

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摘要： 目的：构建护士主导加速康复外科临床路径信息化系统并探讨其在外科术后患者康复中的应用效果，为临床推行加速康复外科提供参考。方法：基于多团队合作和循证方法构建由22个常见病种组成的护士主导加速康复外科临床路径信息化系统，于2023年1月应用于手术患者，以肝癌和肺癌为例，信息化系统应用前为对照组，应用后为干预组，比较信息化系统应用前后患者的加速康复外科措施落实率、平均住院日、住院费用。结果：肝癌干预组加速康复外科措施落实率高于对照组，平均住院日、住院费用少于对照组，差异具有统计学意义（P<0.05）；肺癌干预组加速康复外科措施落实率高于对照组，住院费用低于对照组，差异具有统计学意义（P<0.05）。结论：护士主导加速康复外科临床路径信息化系统能提高加速康复外科措施的落实率，促进患者康复，缩短平均住院日，减少住院费用，缓解医疗资源紧张的现状。

关键词: 加速康复外科；临床路径；信息系统

Abstract: Objective: To construct and explore the effectiveness of a nurse-led information-based Enhanced Recovery After Surgery (ERAS) clinical pathway in surgical patients. Methods: Based on multidiscipline team collaboration and evidence, a nurse-led information-based ERAS clinical pathway for 22 diseases were constructed and applied to surgical patients from January 2023. Taking liver cancer and lung cancer patients as examples, the compliance rate of ERAS measures, average hospitalization days, and hospitalization costs were compared before and after the application of nurse-led information-based ERAS clinical pathway. Results: The compliance rate of the ERAS measures in liver cancer patients of experimental group was higher than that of the control group, and the average hospitalization days and hospitalization costs were lower than those of the control group, with statistically significant difference respectively (P<0.05). The compliance rate of enhanced rehabilitation measures in lung cancer patients of experimental group was higher than that in the control group, and hospitalization cost was lower, the differences were statistically significant respectively (P<0.05). Conclusion: The nurse-led information-based ERAS clinical pathway can promote the implementation of ERAS measures, promote the rehabilitation of patients, shorten the average hospitalization days, reduce hospitalization costs, and alleviate the current situation of limited medical resources.

Key words: Enhanced Recovery After Surgery; clinical pathway; information system

中图分类号:  R47；R197
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