预见性护理模式在胆管癌手术患者围手术期护理中的应用  

Application of predictive nursing model in perioperative nursing patients with bile duct carcinoma surgery

作　　者：刘玉华[1] 王艾宁[1] 

机构地区：[1]延安大学附属医院普外科,延安716000

出　　处：《中国肿瘤临床与康复》2015年第8期995-997,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨胆管癌手术患者围手术期实施预见性护理的临床价值。方法选取2012年9月至2014年8月间收治的胆管癌手术患者62例,根据入院顺序随机分为观察组和对照组,每组各31例。观察组患者在常规护理基础上实施预见性护理,对照组患者实施常规护理,评价两组患者治疗效果,比较两组患者并发症发生率、住院时间、费用及患者对护理满意度。结果观察组和对照组患者的显效率分别为48.4%和35.5%,差异有统计学意义(P<0.05),总有效率分别为87.1%和83.9%,差异无统计学意义(P>0.05)。观察组共有3例(9.7%)患者发生并发症,少于对照组(P<0.05);观察组患者住院时间为(12.61±1.47)d,总住院费用为(22 194.38±497.25)元,对照组分别为(13.86±1.53)d、(28 183.26±502.37)元,差异均有统计学意义(均P<0.05);观察组患者对病房环境、护理工作、服务态度、巡视病房、护患沟通、健康教育的满意率分别为90.3%、93.5%、96.8%、87.1%、96.8%和93.5%,均高于对照组(71.0%、58.1%、74.2%、48.4%、54.8%和61.3%),组间差异均有统计学意义(均P<0.05)。结论胆管癌手术患者围手术期实施预见性护理可明显减少患者并发症,缩短治疗时间,减少治疗费用,提高患者预后和满意度。Objective To explore the clinical value of perioperative nursing in patients with bile duct carcinoma surgery. Methods From September to August 2014, 62 patients with bile duct carcinoma accepting surgical treatment were enrolled in the study and randomly divided into two groups： observation group and control group, cases in each group. The patients in the observation group accepted predictive nursing on the basis of routine nursing and those in the control group accepted routine nursing. The inci- dence of complications, length of hospital stay, total hospitalization expenses and patients satisfaction of nursing between the two groups were compared. Results The efficiency and total effective rate of the obser- vation group were 48.4% and 87. 1% respectively, and the control group were 35.5% and 83.9% respec- tively; the total effective rate difference between two groups had no significant difference （P 〉 0. 05 ）, but there was significant difference in efficiency between the two groups （ P 〈 0.05 ） . There were 3 cases （9. 7% ） complications in the observation group, significantly less than the control group （P 〈 0. 05）; Length of hospital stay and total hospitalization expenses of the observation group were （12. 61 ±1.47 ） d and （22 194. 38 ±497.25） yuan, and were significantly less than the control group （P 〈0. 05） ; the ward environment and nursing work, service attitude, wards, communication, health education of nurses and patients satisfaction rate of the observation group were 90. 3%, 93.5%, 96. 8%, 87. 1%, 96. 8% and 93.5%, significantly higher than those of the control group, and the differences between the two groups had statistical significances （ P 〈 0. 05 ）. Conclusions Predictive nursing ean obviously reduce the complica- tions of patients, shorten the treatment time, reduce the cost and improve the prognosis of patients and patients＇ satisfaction in patients with bile duct carcinoma surgery, and it is an ideal nursing model.

关 键 词：胆管肿瘤 预见性护理 围手术期护理 

分 类 号：R473.73[医药卫生—护理学]