临床路径护理在内镜逆行胰胆管造影和内镜下十二指肠乳头括约肌切开手术中的应用效果  

Clinical effectiveness of clinical nursing pathway for patients treated by endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy

作　　者：韩鸿雁[1] 

机构地区：[1]锡林郭勒职业学院医学院

出　　处：《世界华人消化杂志》2014年第30期4658-4662,共5页World Chinese Journal of Digestology

摘　　要：目的:研究临床路径护理(clinical nursing path,CNP)在内镜逆行胰胆管造影(e n d o s c o p i c retrograde cholangio pancreatography,ERCP)和内镜下十二指肠乳头括约肌切开手术(endoscopic sphincterotomy,EST)中的应用效果.方法:选取2010-09/2011-08锡林郭勒职业学院医学院附属医院收治的患者78例作为对照组,2011-09/2012-08锡林郭勒职业学院医学院附属医院收治的肝外胆结石患者98例作为观察组,均给予常规护理,而观察组患者再给予CNP,观察护理效果.结果:观察组患者住院时间,住院费用及术后相关并发症发生率均少于或低于对照组,且差异具有统计学意义(P<0.05).观察组患者健康知识掌握率及护理质量满意率分别为95.9%和96.9%,而对照组患者为87.2%和87.2%,观察组患者这两项指标均高于对照组,且差异具有统计学意义(P<0.05).结论:CNP在ERCP和EST中的应用效果满意,可降低患者术后并发症发生率,减少患者住院时间和住院费用,提高患者对健康知识掌握率及对护理质量满意率,并建议在临床治疗和护理中推广应用.AIM： To analyze the clinical effectiveness of clinical nursing pathway （CNP） for patients treated by endoscopic retrograde cholangiopancreatography （ERCP） and endoscopic sphincterotomy （EST）. METHODS： Seventy-eight patients with extrahepatic gallstones treated at our hospital from September 2010 to August 2011 comprised a control group, and 98 patients with extrahepatic gallstones treated at our hospital from September 2011 to August 2011 comprised a treatment group. All patients received routine care, and the treatment group received CNP on the basis of routine care. Clinical effectiveness was observed and compared between the two groups.RESULTS： The hospitalization duration, hospital costs and incidence of postoperative complications in the treatment group were significantly lower than those in the control group （P 〈 0.05）. The rates of health knowledge awareness and satisfaction to care quality in the treatment group were significantly higher than those in the control group （95.9% vs 87.2%, 96.9% vs 87.2%, P 〈 0.05）. CONCLUSION： CNP is effective for patients treated by ERCP and EST.

关 键 词：内镜逆行胰胆管造影 内镜下十二指肠乳头括约肌切开取石术 临床路径护理 效果比较 

分 类 号：R473.6[医药卫生—护理学]