临床护理路径在内镜逆行胰胆管造影术患者围术期护理中的应用效果  

Effect of clinical nursing pathway in peri-operation period for patients with common bile duct stones undergoing endoscopic retrograde cholangio-pancreatography

作　　者：王茂莲[1] 刘梅[1] Wang Maolian;Liu Mei(Endoscopy Center, Neijiang First People＇s Hospital, Sichuan Province, Neijiang 641000, China)

机构地区：[1]四川省内江市第一人民医院内镜中心,641000

出　　处：《中华现代护理杂志》2018年第18期2175-2178,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨临床护理路径在接受内镜逆行胰胆管造影术（ERCP）的患者围术期护理中的应用效果。方法选择2016年4月-2017年4月内江市第一人民医院收治的胆总管结石患者80例，随机分为对照组和观察组，每组40例。对照组给予常规围术期护理，观察组采用临床护理路径进行围术期护理，比较两组相关临床指标、医疗费用、临床事件、心理情绪、疼痛、舒适度、术后并发症与护理满意度调查结果。结果观察组患者术后伤口愈合时间（6．31±0．86）d、术后首次下床时间（2．09±O．67）d、住院时间（7．91±0．90）d、住院费用（3526．15±875．26）元，均低于对照组0值分别为8．280、9．307、7．334、6．963；P〈0．01）。观察组患者术后并发症发生率12．5％，对照组40．0％，差异有统计学意义（X^2=7．813，P〈0．01）。对护理非常满意患者，观察组17例，对照组8例，差异有统计学意义（z=-2．889，P〈0．01）。结论临床护理路径在ERCP治疗胆总管结石中的临床应用效果显著，可促进患者恢复并提高舒适度，减少并发症，提升护理满意度。Objective To investigate the effect of clinical nursing pathway in peri-operation nursing for patients with common bile duct stones undergoing endoscopic retrograde cholangio-panereatography （ERCP）. Methods A total of 80 patients with common bile duct stones admitted from April 2016 to April 2017 were randomly divided into control group （n=40） and observation group （n=40） in Endoscopy Center of Neijiang First People＇s Hospital. Patients in the control group were given routine nursing while patients in the observation group were treated with clinical nursing pathway care during peri-operation period. Clinical indexes, medical expense, clinical events, psychological emotion, pain, comfort, postoperative complications and nursing satisfaction of two groups were compared. Results For the observation group, incision healing time was （6.31 ± 0.86） d; initial off bed time was （2.09 ± 0.67）d; hospital stays was （7.91 ± 0.90）d; and medical expense was （3 526.15 ±875.26） yuan which were shorter and lower than those of the control group （t=8.280, 9.307, 7.334, 6.963; P 〈 0.01）. Incidence rate of complication of the observation after operation was lower than that of the control group （12.5% vs. 40.0%, X^2=7.813, P 〈 0.01）. There were more people who were satisfied with nursing of observation group than that of control group （17 vs. 8, Z=-2.889, P 〈 0.01）. Conclusions The clinical nursing pathway has significant clinical effect in treatment of patients with common bile duct stones undergoing ERCP, which can improve the recovery efficiency, patients＇comfort, reduce complication incidence rate, and enhance the nursing satisfaction as well.

关 键 词：围手术期护理 临床护理路径 内镜逆行胰胆管造影术 胆总管结石 

分 类 号：R473.6[医药卫生—护理学]