临床路径结合中医理念在腰椎间盘突出症患者围术期护理中的应用  

Application of clinical pathway combined with tradional Chinese Medicine on perioperative nursing care for patients with lumbar disc herniation

作　　者：崔爱评 贺建华[1] 李雪梅[1] 巩向丽[1] 

机构地区：[1]解放军第306医院骨科,北京100101

出　　处：《世界最新医学信息文摘》2014年第23期196-197,199,共3页World Latest Medicine Information Electronic Version

摘　　要：目的探讨临床路径结合中医理念对腰椎间盘突出症患者围术期护理的影响，以期提高患者术后恢复质量。方法将120例腰椎间盘突出症手术患者随机分为试验组和对照组，每组60例，对照组给予围手术期院内常规护理，试验组按照临床路径结合中医理念模式进行护理。观察并记录试验后腰椎间盘突出症临床症状评分量表—JOA评分量表得分、平均住院天数、护理工作满意度、护理投诉率、术后并发症情况以及健康知识掌握情况。结果试验组患者JOA量表得分高于对照组P〈0．05，差异具有统计学意义，对护理人员满意度、健康知识掌握情况高于对照组（P〈0．05），平均住院天数低于对照组（P〈0．05），差异均具有统计学意义。试验组护理投诉率明显低于对照组。结论在腰椎间盘突出症围术期患者中实施结合中医理念的临床路径，可以缩短住院天数，预防术后并发症的发生，同时提高了护理工作的质量和效率，具有重要的临床实践意义。Object To explore the influence of clinical pathway combined with tradional Chinese Medicine on perioperative nursing care for patients with lumbar disc herniation in order to improve the quality of postoperative recovery. Methods 120 cases of patients with lumbar disc herniation surgery were randomly divided into experimental group and control group, each group of 60 patients. The patients in control group were given conventional treatment with the perioperative nurising care, while patients in the experimental group were given care with model of clinical pathway combined with traditional Chinese medicine. The lumbar disc herniation clinical symptom scoreS were observed and recorded including JOA scale score, average hospitalization days, the satisfaction of nursing care, nursing complaint rate, the condition of complications and the acquisition of health knowledge. Results The JOA scores of the experimental group was higher than that of the control group （P〈0.05）, and the difference was statistically significant. The satisfaction of nursing staff and the acquisition of health knowledge in the experimental group were both higher than that in the control group （P〈0.05）. The average hospitalization days in the experimental group were lower than that in the control group （P〈0.05）, and the difference was statistically significant. The nursing complaints rate of experimental group was significantly lower than that of the control group. Conclusion The implementation of clinical pathway combined with tradional Chinese Medicine in patients with lumbar disc herniation, can shorten the hospitalization days, and improve the nursing quality and efficiency. It has important implications for clinical practice.

关 键 词：临床路径 中医理念 腰椎间盘突出症 手术治疗 护理 

分 类 号：R473[医药卫生—护理学]