冠狀動脈繞道手術整合性照護－以術後加速康復為例

冠狀動脈繞道術後病人常有疼痛、身體多種併發症之生理不適，亦可能有疲憊、憂鬱等心理問題，進而導致家屬照護負荷，影響其生活品質，因此需要完整的多科整合照護計畫來加速術後復原並進而減少社會負擔。近年政府致力推動整合性醫療照護，術後加速康復之照護模式也開始導入於手術後照護。因此本文透過文獻回顧，將術後加速康復計畫應用於心臟術後整合性照護，提供跨學科且基於實證資料之組合式照護計畫，包括碳水化合物飲料、多模式止痛、輸液管理等，將病人的情緒和生理壓力降至最低，使其儘快恢復生理功能狀態，藉此提供臨床團隊未來照護冠狀動脈繞道手術後照護之參考。...

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Published in護理雜誌 Vol. 71; no. 3; pp. 93 - 103
Main Authors 葉書秀(Shu-Hsiu YEH), 馬瑞菊(Jui-Chu MA), 周碧玲(Pi-Ling CHOU)
Format Journal Article
LanguageChinese
Published 台灣 台灣護理學會 01.06.2024
社團法人臺灣護理學會
Subjects
coronary artery bypass graft
enhanced recovery after surgery
integrated care
MEDLINE
Scopus
TSCI
冠狀動脈繞道手術
整合性照護
術後加速康復
整合性照護
enhanced recovery after surgery
coronary artery bypass graft
integrated care
冠狀動脈繞道手術
術後加速康復
Online AccessGet full text
ISSN0047-262X
DOI10.6224/JN.202406_71(3).12

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Abstract 冠狀動脈繞道術後病人常有疼痛、身體多種併發症之生理不適，亦可能有疲憊、憂鬱等心理問題，進而導致家屬照護負荷，影響其生活品質，因此需要完整的多科整合照護計畫來加速術後復原並進而減少社會負擔。近年政府致力推動整合性醫療照護，術後加速康復之照護模式也開始導入於手術後照護。因此本文透過文獻回顧，將術後加速康復計畫應用於心臟術後整合性照護，提供跨學科且基於實證資料之組合式照護計畫，包括碳水化合物飲料、多模式止痛、輸液管理等，將病人的情緒和生理壓力降至最低，使其儘快恢復生理功能狀態，藉此提供臨床團隊未來照護冠狀動脈繞道手術後照護之參考。
AbstractList 冠狀動脈繞道術後病人常有疼痛、身體多種併發症之生理不適，亦可能有疲憊、憂鬱等心理問題，進而導致家屬照護負荷，影響其生活品質，因此需要完整的多科整合照護計畫來加速術後復原並進而減少社會負擔。近年政府致力推動整合性醫療照護，術後加速康復之照護模式也開始導入於手術後照護。因此本文透過文獻回顧，將術後加速康復計畫應用於心臟術後整合性照護，提供跨學科且基於實證資料之組合式照護計畫，包括碳水化合物飲料、多模式止痛、輸液管理等，將病人的情緒和生理壓力降至最低，使其儘快恢復生理功能狀態，藉此提供臨床團隊未來照護冠狀動脈繞道手術後照護之參考。
After post-coronary artery bypass surgery, patients often experience physiological issues such as pain and complications as well as psychological issues such as fatigue and depression. These issues may burden family caregivers and impact patient quality of life. Therefore, a comprehensive, multidisciplinary integrated care plan is needed to expedite postoperative recovery and reduce the social burden on patients. In recent years, government promotion of integrated healthcare, including the implementation of postoperative accelerated recovery care models, has led to the introduction of the enhanced recovery after surgery program as part of post-cardiac surgery integrated care. This program, providing combined care that is multidisciplinary and evidence-based, incorporates elements such as the provision of carbohydrate drinks, multimodal pain management, and fluid management. Reducing to a minimum the emotional and physiological stresses on patients facilitates a faster return to normal functionality. In this p
Author 周碧玲(Pi-Ling CHOU)
馬瑞菊(Jui-Chu MA)
葉書秀(Shu-Hsiu YEH)
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DocumentTitleAlternate Enhanced Recovery After Surgery: An Example of Integrated Care for Coronary Artery Bypass Graft Surgery
DocumentTitle_FL Enhanced Recovery After Surgery: An Example of Integrated Care for Coronary Artery Bypass Graft Surgery
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Keywords 整合性照護
enhanced recovery after surgery
coronary artery bypass graft
integrated care
冠狀動脈繞道手術
術後加速康復
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After post-coronary artery bypass surgery, patients often experience physiological issues such as pain and complications as well as psychological issues such...
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StartPage 93
SubjectTerms coronary artery bypass graft
enhanced recovery after surgery
integrated care
MEDLINE
Scopus
TSCI
冠狀動脈繞道手術
整合性照護
術後加速康復
Title 冠狀動脈繞道手術整合性照護－以術後加速康復為例
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