临床护理路径在结节性甲状腺肿手术患者中的应用  

Application of Clinical Nursing Pathway in Patients Accepted Nodular Goiter Surgery

作　　者：杨雄涛[1] 杨青[1] 陈世容[1] 赵家凤[1] 唐媛[1] 

机构地区：[1]四川省肿瘤医院头颈外科,成都610041

出　　处：《肿瘤预防与治疗》2015年第3期155-159,共5页Journal of Cancer Control And Treatment

摘　　要：目的:探讨临床护理路径在结节性甲状腺肿手术患者中的应用效果。方法:对比分析接受临床护理路径和非临床护理路径两种不同护理模式的结节性甲状腺肿手术患者,对照组实施整体护理模式,观察组采用临床护理路径管理。比较两组患者住院时间、住院费用、术后不适反应、健康知识掌握率、患者满意度各项相关指标。结果:观察组患者平均住院时间和平均住院费为(8.29±0.61)d和(15 837.26±927.48)元,低于对照组的(12.42±0.86)d和(16 124.37±1 027.69)元,差异有统计学意义(P<0.05);观察组患者术后不适反应发生率低于对照组,差异有统计学意义(P<0.05);观察组患者满意度评分和健康知识掌握率为(23.56±4.92)分和93.27%,高于对照组的(17.15±4.52)分和78.57%,差异有统计学意义(P<0.05)。结论:临床护理路径应用于结节性甲状腺肿手术患者,可减少住院费用,减轻术后的不适反应,提高患者对疾病的认识、对健康知识的掌握率和对护理的满意度,有利于提高护理质量,值得临床推广。Objective： To discusses the efficacy of clinical nursing pathway applied in the patients who accepted nodular goiter surgery. Methods： Patients were divided into observation group and control group. In the observation group,patients were under the guidance of clinical nursing pathway while in control group were arranged by conventional nursing methods. Parameters as the hospitalization duration and expense,postoperative adverse reaction,the understangding status of health knowledge,the satisfaction scoring of patients were compared between these two groups. Results： The hospitalization time was（ 8. 29 ± 0. 61） d in the observation group and（ 12. 42 ± 0. 86） d in the control group,with statistically significant difference（ P〈0. 05）. The hospitalization expense was RMB（ 15 837. 26 ± 927. 48） in the observation group and RMB（ 16 124. 37 ± 1 027. 69） in the control group,with statistically significant difference（ P〈0. 05）. The incidence of adverse reaction in observation group was lower than that in the control group with significant difference（ P〈0. 05）. The understanding rate of the health knowledge in the observation group was 93. 27%,higher than the 78. 57% in the observation group,with significant difference（ P〈0. 05）. The satisfaction scoring of the patients in the observation group was（ 23. 56 ± 4. 92）,higher than the（ 17. 15 ± 4. 52） in the observation group,with significant difference（ P〈0. 05）. Conclusion： The application of the clinical nursing pathway in the patients who underwent nodular goiter surgery can reduce the hospitalization time and expense,lower the adverse reaction,improve the understanding of the health knowledge,as well as increase the satisfaction scoring. It is a good way to improve the nursing quality and worthy of clinical promotion.

关 键 词：临床护理路径 结节性甲状腺肿 护理质量 

分 类 号：R473.6[医药卫生—护理学]