临床路径护理对胆肠吻合术患者术后营养状况相关并发症及生存质量的影响  

Effect of clinical pathway nursing on the postoperative nutritional statusrelated complications and quality of life of patients with cholenterostomy

作　　者：康伟[1] 梁挺[2] 李辉[3] 何丽芸[1] KANG Wei;LIANG Ting;LI Hui;HE Liyun(Operating Room, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China;Department of Pediatric General Surgery, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China;the Second Department of Cadre Ward, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China)

机构地区：[1]新疆医科大学第一附属医院手术室,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院小儿普外科,新疆乌鲁木齐830054 [3]新疆医科大学第一附属医院干二科,新疆乌鲁木齐830054

出　　处：《中国医药导报》2018年第34期173-176,共4页China Medical Herald

基　　金：新疆维吾尔自治区自然科学基金资助项目(2017D01C321)

摘　　要：目的探讨临床路径护理对胆肠吻合术患者术后营养状况相关并发症及生存质量的影响。方法选取2015年4月～2017年4月新疆医科大学第一附属医院收治的胆肠吻合术患者70例,采用随机数字表法将其分为对照组和观察组,每组35例。对照组给予常规护理,观察组给予临床路径护理,比较两组患者术后营养状况相关并发症及生存质量。结果观察组胃肠道反应、代谢性并发症(包括高血糖反应、低血糖反应)、肝功能异常发生率均低于对照组,差异有统计学意义(P <0.05)。术后,两组患者躯体功能、心理功能、社会功能及物质生活评分均高于术前,观察组上述评分高于对照组,差异有统计学意义(P <0.05)。结论临床路径护理更有利于降低胆肠吻合术后患者术后营养状况相关并发症发生率,促进提高术后的生存质量。Objective To explore the effect of clinical pathway nursing on the postoperative nutritional status-related complications and quality of life in patients with cholenterostomy.Methods From April2015to April2017,in the First Affiliated Hospital of Xinjiang Medical University,70patients with cholenterostomy were selected.By random number table method,they were divided into control group and observation group,with35cases in each group.The control group was given operating routine nursing care,observation group was given the clinical pathway nursing,postoperative nutritional status-related complications and quality of life in two groups were compared.Results The rate of gastrointestinal tract reaction,metabolic complications(including hyperglycemia reaction,hypoglycemia reaction),abnormal liver function in observation group were lower than those in control group,the differences were statistically significant(P<0.05).After operation,the body function,psychological function,social function and material life grade rise in two groups were higher than those before operation,which in observation group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion The clinical pathway nursing is more conducive to decrease the rate of postoperative nutritional status-related complications of patients with cholenterostomy and improve the quality of life after surgery.

关 键 词：临床路径护理 胆肠吻合术 术后营养 生存质量 

分 类 号：R473.6[医药卫生—护理学]