临床护理路径在肠造口患者围手术期的应用  

Application of the clinical nursing pathway in patients receiving enterostomy

作　　者：张辉[1] 张晴[1] 任立梅[1] 黄枫云 王倩[1] 张洁[2] 

机构地区：[1]徐州市中心医院胃肠外科,江苏徐州221009 [2]徐州市中心医院护理部

出　　处：《徐州医学院学报》2016年第8期545-547,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的探讨临床护理路径在肠造口围手术期的应用效果。方法选择肠造口术患者116例，随机分为实验组（60例）和对照组（56例）。实验组采用临床护理路径进行连续、完整的护理，对照组接受常规护理。对2组造口并发症发生率、平均住院天数和住院费用、患者满意度进行比较。结果实验组造口并发症的发生率为8．3％，显著低于对照组（28．6％）（P〈0．05）。实验组的平均住院时间和住院费用均低于对照组，患者满意度高于对照组，差异有统计学意义（P〈0．05）。结论临床护理路径的实施可以减少肠造口术患者造口并发症的发生，减少患者的痛苦，缩短住院日数和住院费用，减轻患者的经济负担，提高患者对护理质量的满意度。Objective To explore the effects of the clinical nursing pathway on patients receiving enterostomy. Methods A total of 116 patients scheduled to receive enterostomy were randomly divided into an experimental group （n = 60） and a control group （n = 56）. The experimental group was provided with nursing care according to the clinical nursing pathway, while the control group received routine nursing care alone. Then, both groups were compared for the complication rate after enterpstomy, patients＇ satisfaction and the average hospitalization stay and expenses. Results The experimental group presented 8.3% of complication rate after enterpstomy, which was remarkably different from that in the control group （28.6%） （P 〈 0.05 ）. Compared with the control, patients＇satisfaction, and the average hospitali- zation stay and expenses were marked different in the experiment group （ P 〈 0.05 ）. Conclusion The application of the clinical nursing pathway can reduce the incidence of enterostomy complication and alleviate patients＇suffering, shorten the average hospitalization stay and reduce the expenses and improve the quality of nursing care and patients satisfaction.

关 键 词：肠造口术 临床路径 

分 类 号：R473.6[医药卫生—护理学]