临床护理路径干预措施在预防高龄患者肝内外胆管结石手术肺部感染中的应用效果  

Application effect of clinical nursing pathway intervention measures in preventing pulmonary infection in elderly patients undergoing intrahepat-ic and extrahepatic biliary calculi surgery

作　　者：胡惠敏[1] 欧阳石女 HU Hui-min;OUYANG Shi-nv(Department of General Surgery,Xingguo People′s Hospital,Jiangxi Province,Xingguo 342400,China;Center for Disease Control and Prevention of Yudu County,Jiangxi Province,Yudu 342300,China)

机构地区：[1]江西省兴国县人民医院普外科,江西兴国342400 [2]江西省于都县疾病预防控制中心,江西于都342300

出　　处：《中国当代医药》2019年第23期196-198,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2017ZSF497)

摘　　要：目的探讨临床护理路径干预措施在预防高龄患者肝内外胆管结石手术肺部感染中的应用效果。方法选取2017年5月~2018年5月在本院接受治疗的60例高龄肝内外胆管结石患者作为观察对象,按照随机数字表法分为对照组(30例)与观察组(30例)。观察组患者采用临床护理路径形式的护理干预措施,对照组患者采用常规护理。比较两组患者的肺部感染发生情况以及住院时间。结果观察组患者的肺部感染发生率明显低于对照组,差异有统计学意义(P<0.05);观察组患者的住院时间明显短于对照组,差异有统计学意义(P<0.05)。结论在高龄肝内外胆管结石患者手术中,加强患者围术期的综合护理干预措施,不仅可以有效缩短患者的住院时间,还可以有效减少肺部感染的发生,效果较好,值得应用。Objective To investigate the application effect of clinical nursing pathway intervention measures in preventing pulmonary infection in elderly patients undergoing intrahepatic and extrahepatic biliary calculi surgery.Methods Sixty elderly patients with intrahepatic and extrahepatic biliary calculi treated in our hospital from May 2017 to May 2018 were selected as observation objects and they were divided into the control group(30 cases)and observation group(30 cases)according to random number table method.Nursing intervention measures in the form of clinical nursing pathway were adopted in the observation group,while routine nursing was adopted in the control group.The incidence of pulmonary infection and hospitalization time were compared in patients between the two groups.Results The incidence of pulmonary infection in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The hospitalization time in the observation group was significantly shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion For elderly patients after intrahepatic and extrahepatic biliary calculi surgery,strengthening the comprehensive nursing intervention measures of patients during perioperative period can not only effectively shorten the hospitalization time of patients,but also effectively reduce the incidence of pulmonary infection.The effect is good,and it is worth applying.

关 键 词：护理干预 肺部感染 肝内外胆管结石 高龄患者 

分 类 号：R473.6[医药卫生—护理学]