临床路径联合延续性护理对急诊腹腔镜胆囊切除术患者预后及生活质量的影响  

Impact of clinical nursing path combined continuity of care for patient outcomes and quality of life in emergency laparoscopic cholecystectomy

作　　者：韩月萍[1] 徐国强[2] 

机构地区：[1]杭州市萧山区第四人民医院急诊室,浙江杭州311225 [2]浙江大学医学院附属第一医院消化科,浙江杭州310003

出　　处：《中国现代医生》2014年第18期96-99,共4页China Modern Doctor

基　　金：国家自然科学基金(81070366/H0319)

摘　　要：目的探讨临床路径联合延续性护理对急诊腹腔镜胆囊切除术患者预后及生活质量的影响。方法选择250例腹腔镜胆囊切除术患者,分为研究组127例和对照组123例,分别实施临床护理路径联合延续性护理干预和常规护理。结果两组术后首次进食时间、术后下床活动时间、住院时间及住院费用比较,差异有统计学意义(P<0.05)。研究组健康知识掌握情况及护理质量满意度均优于对照组(P<0.05)。出院后研究组SF-36量表生理职能、躯体疼痛、总体健康、活力、社会功能和心理健康评分均显著高于对照组(P<0.05)。结论住院期间临床护理路径的应用可以提高对腹腔镜胆囊切除术患者的护理服务质量,出院后延续护理干预为术后出院患者提供更多的护理支持,有利于促进患者的康复,提高生活质量。Objective To investigate the effect of clinical nursing path combined continuity of care for patient outcomes and quality of life in emergency laparoscopic cholecystectomy. Methods A total of 250 cases of laparoscopic cholecys-tectomy were divided into study group （127 cases）and control group （123 cases）, were joint implementation of clinical nursing path and continuity of nursing intervention and usual care. Results The first postoperative feeding time, postop-erative ambulation time, hospital stay and hospital costs were significantly（P〈0.05）. Case study group health knowledge and satisfaction with the quality of care were better than the control group（P〈0.05）. Study group after discharge physi-ological functions of the SF-36 scale, bodily pain, general health, vitality, social functioning and mental health scores were significantly higher in study group （P〈0.05）. Conclusion Application of clinical nursing path during hospitaliza-tion can now improve laparoscopic cholecystectomy quality of care of patients after discharge from hospital extended care patients discharged after intervention to provide more care support, and promoting the rehabilitation of patients.

关 键 词：腹腔镜 胆囊切除 临床护理路径 延续护理 

分 类 号：R473.6[医药卫生—护理学]