临床路径干预应用于食道癌根治术后患者的护理效果及并发症预防分析(1)
[摘要] 目的 探討临床路径干预应用于食道癌根治术后患者的护理效果及并发症预防。 方法 选取我院2016年12月～2017 年12月收治的104例食道癌患者为研究对象，随机均分为观察组和对照组两组，每组52例。对照组采用传统护理;观察组在采用常规护理的基础上制定临床护理路径表并实施。比较两组患者住院天数、住院费用以及术后卧床时间;术后健康教育情况、自理能力恢复情况、并发症发生情况以及患者的满意率。 结果 观察组的住院天数(17.1±3.2)d低于对照组的住院天数(21.2±4.1)d(P<0.05);住院费用低于对照组(P<0.05);术后卧床时间(56.9±4.1)h短于对照组的术后卧床时间(76.8±9.1)h(P<0.05);观察组的术后健康教育的优良率(90.4%)高于对照组的71.1%(P<0.05);观察组的术后的总自理率(92.3%)高于对照组的76.9%(P<0.05);观察组的术后并发症发生率(19.2%)低于对照组的并发症发生率(36.5%)(P<0.05)，术后观察组的总满意率(96.2%)高于对照组的总满意率(73.1%)(P<0.05)。 结论 对患者运用临床路径干预可以减少患者的住院天数、住院费用以及术后卧床时间，可以增强患者对健康知识的了解和术后自理能力，减少术后并发症的发生率，提高了手术的效果和患者满意率，值得临床推广应用。
[关键词] 临床路径干预;食道癌;护理效果;并发症
[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701(2018)36-0149-04
[Abstract] Objective To investigate the nursing effect and prevention of complications of clinical pathway intervention in patients with esophageal cancer after radical surgery. Methods A total of 104 patients with esophageal cancer admitted in our hospital from December 2016 to December 2017 were randomly divided into observation group and control group， with 52 cases in each group. The control group was treated with traditional nursing. The observation group developed a clinical nursing pathway form based on routine nursing and implemented it. The hospitalization days， hospitalization costs， postoperative bed rest time， postoperative health education， recovery of self-care ability， complications and patient satisfaction rate were compared between the two groups. Results The number of hospital stays in the observation group (17.1±3.2) d， was lower than (21.2±4.1) in the control group(P<0.05). The hospitalization expense of the observation group was lower than that in the control group(P<0.05). Postoperative bed rest time (56.9±4.1) h in the observation group was shorter than the control group's postoperative bed rest time (76.8±9.1) h(P<0.05). The excellent and good rate of postoperative health education in the observation group (90.4%) was higher than 71.1% in the control group(P<0.05). The postoperative total self-care rate(92.3%) in the observation group was higher than that in the control group(76.9%) (P<0.05). The incidence of postoperative complications (19.2%) in the observation group was lower than that of the control group(36.5%， P<0.05). The postoperative total satisfaction rate of the observation group(96.2%) was higher than 73.1% of the control group(P<0.05). Conclusion The use of clinical pathway intervention in patients can reduce the number of hospitalization days， hospitalization costs and postoperative bed rest time， which can enhance patients' understanding of health knowledge and postoperative self-care ability， reduce the incidence of postoperative complications， and improve surgery effect and patient satisfaction rate. It is worthy of clinical application., http://www.100md.com(刘梅 刘红菊)
[关键词] 临床路径干预;食道癌;护理效果;并发症
[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701(2018)36-0149-04
[Abstract] Objective To investigate the nursing effect and prevention of complications of clinical pathway intervention in patients with esophageal cancer after radical surgery. Methods A total of 104 patients with esophageal cancer admitted in our hospital from December 2016 to December 2017 were randomly divided into observation group and control group， with 52 cases in each group. The control group was treated with traditional nursing. The observation group developed a clinical nursing pathway form based on routine nursing and implemented it. The hospitalization days， hospitalization costs， postoperative bed rest time， postoperative health education， recovery of self-care ability， complications and patient satisfaction rate were compared between the two groups. Results The number of hospital stays in the observation group (17.1±3.2) d， was lower than (21.2±4.1) in the control group(P<0.05). The hospitalization expense of the observation group was lower than that in the control group(P<0.05). Postoperative bed rest time (56.9±4.1) h in the observation group was shorter than the control group's postoperative bed rest time (76.8±9.1) h(P<0.05). The excellent and good rate of postoperative health education in the observation group (90.4%) was higher than 71.1% in the control group(P<0.05). The postoperative total self-care rate(92.3%) in the observation group was higher than that in the control group(76.9%) (P<0.05). The incidence of postoperative complications (19.2%) in the observation group was lower than that of the control group(36.5%， P<0.05). The postoperative total satisfaction rate of the observation group(96.2%) was higher than 73.1% of the control group(P<0.05). Conclusion The use of clinical pathway intervention in patients can reduce the number of hospitalization days， hospitalization costs and postoperative bed rest time， which can enhance patients' understanding of health knowledge and postoperative self-care ability， reduce the incidence of postoperative complications， and improve surgery effect and patient satisfaction rate. It is worthy of clinical application., http://www.100md.com(刘梅 刘红菊)