手术室护理路径在临床腹腔镜胆囊切除术护理安全中的影响研究  

Impact of operating room nursing pathway in nursing safety management of laparoscopic cholecystectomy

作　　者：卜文君[1] 

机构地区：[1]南方医科大学南方医院手术室,广东广州510515

出　　处：《实用临床医药杂志》2017年第10期63-66,共4页Journal of Clinical Medicine in Practice

基　　金：广东省医学科学技术研究基金项目(B2015144)

摘　　要：目的探讨手术室护理路径与常规干预方法在腹腔镜胆囊切除术护理安全中的影响。方法将入院肝胆外科准备行腹腔镜胆囊切除术患者120例随机分为手术室路径组和对照组,各60例。手术室路径组采用临床护理路径表来实施诊疗护理过程,对照组采用常规护理,观察2组患者术前和术后住院时间、总住院时间、住院费用、日平均住院费用、术后首次活动、术后自理能力恢复情况、满意度。结果手术室路径组的术前住院时间、术后住院时间、总住院时间、住院费用日平均住院费用、术后首次活动时间明显短于对照组(P<0.05);手术室路径组的术后自理能力恢复情况明显优于对照组(P<0.05);手术室路径组的满意度明显高于对照组(P<0.05)。结论在腹腔镜胆囊切除术护理安全管理中采用手术室护理路径干预可以有效的改善患者症状,提高患者生活质量和满意度,值得推广应用。Objective To study effects of operating room nursing pathway in nursing safety management of laparoscopic cholecystectomy. Methods A total of 120 laparoscopic cholecystectomy patients with liver and gallbladder surgery in hospital were randomly divided into operating pathway group and control group （n = 60）. Operating room pathway group implemented clinical nursing path- way and the control group was given conventional care, preoperative and postoperative hospitalization days, total hospitalization days, hospitalization costs, average hospitalization expenses, time to first motivation after operation, postoperative self-care ability recovery, and satisfaction were observed. Results The preoperative hospitalization days, postoperative hospitalization days and total hospitali- zation days, average hospitalization expenses, hospitalization expenses, time to first motivation after operation in operating path group were obviously shorter than the control group （P 〈 0.05） ; Postoper- ative self-care ability of operating path group was obviously better than control group （ P 〈 0.05 ） ; Satisfaction was obviously higher than that of control group （P 〈 0.05）. Conclusion Nursing path- way intervention can effectively improve symptoms, quality of life, and satisfaction, so it is worthy of popularization and application.

关 键 词：手术室护理路径 腹腔镜胆囊切除术 护理安全 满意度 

分 类 号：R472.3[医药卫生—护理学]