食管癌患者围手术期护理实施临床护理路径的效果探讨  

Effect of Clinical Nursing Pathway on Perioperative Nursing of Patients with Esophageal Cancer

作　　者：官莉贞 黄惠娟[1] GUAN Lizhen;HUANG Huijuan(First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院

出　　处：《中外医学研究》2019年第32期108-110,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:以采用手术治疗的食管癌患者为研究对象,探讨围术期为其提供临床护理路径的效果。方法:回顾性分析2017年8月-2019年3月在笔者所在医院接受手术治疗的90例食管癌患者临床资料,并根据患者护理方式分为两组,参照组(n=45)患者应用术前健康指导、病情监控及并发症预防等常规护理干预,研究组(n=45)患者应用临床护理路径,对比患者术后消化道出血等并发症总发生率及术后肛门通气时间等围术期相关指标。结果:研究组消化道出血、切口感染等术后并发症总发生率为8.89%,低于参照组的20.00%,差异有统计学意义(P<0.05)。研究组肛门通气时间、静脉输液时间及住院时间均短于参照组,下床活动时间早于参照组,差异均有统计学意义(P<0.05)。结论:围术期为食管癌患者提供临床护理路径可使术后并发症总发生率得到明显降低,同时可缩短其术后肛门通气时间等身体功能恢复时间及住院时间。Objective:To explore the effect of perioperative clinical nursing pathway for patients with esophageal cancer treated by surgery.Method:The clinical data of 90 patients with esophageal cancer who underwent surgery in our hospital from August 2017 to March 2019 were retrospectively analyzed and divided into two groups according to the difference of treatment methods.The patients in the control group(n=45)were treated with routine nursing intervention such as preoperative health guidance,condition monitoring and complications prevention,while the study group(n=45)was treated with clinical nursing pathway.The total incidence of complications such as postoperative gastrointestinal bleeding and the perioperative related indexes such as postoperative anal ventilation time of two groups were compared.Result:The total incidence of postoperative complications such as gastrointestinal bleeding and incision infection in the study group was 8.89%,which was lower than 20.00%in the control group,the difference was statistically significant(P<0.05).The time of anal ventilation,the time of intravenous infusion and the time of hospitalization in the study group were shorter than those in the control group,the time of getting out of bed in the study group was earlier than the control group,the differences were statistically significant(P<0.05).Conclusion:Providing clinical nursing pathway for patients with esophageal cancer during perioperative period can significantly reduce the total incidence of complications,and shorten the recovery time of body function such as anal ventilation time and hospitalization time.

关 键 词：食管癌 围手术期 临床护理路径 护理效果 

分 类 号：R47[医药卫生—护理学]