摘要
目的 分析加速康复外科（ERAS）理念下胸椎骨折围术期护理教学路径的优化及教学效果。方法 此次研究对象为50名骨科护理实习生，抽取自本院2024年1月-2025年1月期间。按照随机数字表法分为常规组及实验组，每组25名。其中常规组行常规教学，实验组采用优化后的ERAS理念导向型胸椎骨折围术期护理教学路径。对比两组理论考核成绩、实操技能成绩、临床应用评价成绩及患者护理满意度。结果 实验组理论考核成绩、实操技能成绩及临床应用评价成绩高于常规组（P<0.05）；实验组患者护理满意度高于常规组（P<0.05）。结论 优化后的ERAS理念下胸椎骨折围术期护理教学路径，可有效提升骨科护理实习生的理论水平、实操技能及临床应用效果，提高护理满意度，值得在骨科护理临床教学中推广应用。
关键词： 加速康复外科；胸椎骨折；围术期护理；教学路径；优化；护理实习生
Abstract
Objective To analyze the optimization and effectiveness of the ERAS-guided perioperative nursing teaching path for thoracic fractures. Methods Fifty orthopedic nursing interns (Jan 2024-Jan 2025) were randomly divided into two groups (25 each). The control group received routine teaching, while the experimental group adopted the ERAS-guided optimized perioperative nursing teaching path for thoracic fractures. Theoretical scores, practical skills, clinical application ability, and patient nursing satisfaction were compared. Results The experimental group showed higher scores in all indicators and higher patient satisfaction than the control group (all P<0.05). Conclusion The ERAS-guided optimized teaching path can effectively improve interns' theoretical level, practical skills and clinical application effects, enhance patient satisfaction, and is worthy of promotion in orthopedic nursing teaching.
Key words： Accelerated rehabilitation surgery; Thoracic vertebral fracture; Perioperative care; Teaching path; Optimization; Nursing interns
参考文献 References
[1] 陈游.加速康复护理清单在胸腰椎骨折患者围手术期的应用效果[J].中国社区医师, 2022,23(019):038.
[2] 王欢,杨新明,张瑛.加速康复外科理念在骨科患者围手术期护理中的应用分析[J].临床误诊误治, 2023, 36(2): 5.
[3] 陈立燕.加速康复护理清单在胸腰椎骨折患者围术期的应用效果分析[J].中国社区医师, 2023, 39(12):152-154.
[4] 王元[1];刘竞辉[1];王樑[1].ERAS理念在外科实习教学中的应用及其对学生岗位胜任力的影响[J].中国大学教学, 2021,14(11):176-177.
[5] 刘晓伟,王杰,陈勇林,等.胸腰椎骨折围手术期加速康复联合心理护理干预[J].中国矫形外科杂志, 2025,34(18): 156-157.
[6] 刘安,史明敏,叶招明,等.加速康复外科理念在关节外科临床教学中的应用实践[J].中国高等医学教育, 2023, 36(6):74-75.
[7] 陈劲松、罗兵、黄炯强、王荣昌、胡明.加速康复外科理念在胃肠外科教学中的应用[J].中国继续医学教育, 2020, 12(36):4.
[8] 黄莉燕,李瑜,陆彬.加速康复外科理念在泌尿外科临床护理教学中的应用[J].蛇志, 2024, 36(2):254-256.