对接受手术治疗的子宫肌瘤患者进行临床路径护理的效果及对其预后的影响  

The effect of clinical pathway nursing for patients with uterine fibroids receiving surgical treatment and its influence on the prognosis

作　　者：黄伟娟 唐敬菊 Huang Weijuan;Tang Jingju(The Second People’s Hospital of Huazhou city,Huazhou City,Guangdong Pr ovince 525141)

机构地区：[1]化州市第二人民医院妇产科,广东化州525141

出　　处：《当代医药论丛》2020年第13期207-208,共2页

摘　　要：目的:探讨对接受手术治疗的子宫肌瘤患者进行临床路径护理的临床效果。方法:将2018年1月至2019年10月在化州市第二人民医院进行手术治疗的44例子宫肌瘤患者随机分为A组(22例)和B组(22例)。对A组患者进行常规护理。对B组患者进行临床路径护理。然后,比较两组患者的体温、心率、舒张压、术毕至首次肛门排气的时间、术毕至首次下床活动的时间、术毕至手术切口拆线的时间、住院的时间及术后并发症的发生情况。结果:B组患者的心率快于A组患者,P<0.05。B组患者的体温高于A组患者,P<0.05。B组患者的舒张压和术后并发症的总发生率均低于A组患者,P<0.05。B组患者术毕至首次肛门排气的时间、术毕至首次下床活动的时间、术毕至手术切口拆线的时间及住院的时间均短于A组患者,P<0.05。结论:对接受手术治疗的子宫肌瘤患者进行临床路径护理,可维持其心率的稳定,促使其较快地康复。Objective:To explore the clinical effect of clinical pathway nursing for patients with uterine fibroids receiving surgical treatment.Methods:A total of 44 patients with uterine fibroids who underwent surgical treatment in The Second People’s Hospital of Huazzhou city from January 2018 to October 2019 were randomly divided into group A(22 cases)and Group B(22 cases).Group A patients for routine care.The patients in group B were given clinical pathway nursing.Then,the temperature,heart rate,diastolic blood pressure,the time from the end of surgery to the first anal exhaust,the time from the end of surgery to the first out-of-bed activity,the time from the end of surgery to the removal of surgical incision,the time of hospitalization,and the incidence of postoperative complications were compared between the two groups.Results:The heart rate of group B was faster than that of group A(P<0.05).The body temperature of group B was higher than that of group A(P<0.05).The total incidence of diastolic blood pressure and postoperative complications in group B was lower than that in group A(P<0.05).The time from the end of operation to the first anal exhaust,the time from the end of operation to the first out-of-bed activity,the time from the end of operation to the removal of the incision and the time of hospitalization in group B were all shorter than those in group A(P<0.05).Conclusion:Clinical pathway nursing for patients with uterine fibroids treated by surgery can maintain the stability of their heart rate and promote their ra pid recovery.

关 键 词：子宫肌瘤 手术治疗 临床路径护理 

分 类 号：R473[医药卫生—护理学]