健康教育路径管理对肝切除术后并发症及恢复效果的影响  

Impact of health education path management on complications and rehabilitation effects after hepatectomy

作　　者：谢兰珍[1] 邱晓娟[1] 

机构地区：[1]浙江省金华市中心医院肝胆胰外科一区,浙江金华321000

出　　处：《中国现代医生》2014年第21期108-111,共4页China Modern Doctor

基　　金：浙江省温州市第一期科技计划项目(Y20130025)

摘　　要：目的 观察健康教育路径管理对肝切除术后并发症及恢复效果的影响.方法 对我院2009年5月～2012年9月收治的118例肝切除患者进行围手术期不同护理活动干预,观察组60例采用健康教育路径管理护理干预,对照组58例采用常规护理干预.观察肝切除术后两组患者的并发症情况,同时对患者肝功能进行7d、14d的复查.结果 观察组术后并发症发生率为18.33％,对照组为39.66％,两组差异有统计学意义（P＜0.05）.肝功能方面,两组患者术后谷丙转氨酶（ALT）及谷草转氨酶（AST）均明显上升,差异无统计学意义（P＞0.05）.经过复查发现观察组第7、14天的ALT、AST水平明显低于对照组（P＜0.05）.结论 健康教育路径管理可以减少肝切除患者术后并发症的发生率,改善肝功能,加快患者术后恢复.Objective To observe the impact of health education path management on complications and rehabilitation effects after hepatectomy. Methods All 118 patients with hepatectomy were given different nursing interventions during perioperative period, 60 cases of observation group were given health education path management nursing intervention while 58 cases of control group were given routine nursing intervention. After hepatectomy, complications of two groups were observed and liver functions of patients were reexamined on 7th and 14th day. Results Occurrence rate of compli- cations in observation group after operation was 18.33% while control group was 39.66% （P〈0.05）. On liver function, ALT and AST of two groups both rose obviously after operation （P〉0.05）. By reexamination, ALT and AST levels of observation group on 7th and 14th day were obviously lower than control group （P〈0.05）. Conclusion Health education path management can reduce occurrence rate of complications of patients after hepateetomy and improve liver function and accelerate postoperative rehabilitation of patients.

关 键 词：健康教育路径管理 肝切除 并发症 恢复效果 

分 类 号：R473.6[医药卫生—护理学]