胃肠肿瘤术后患者多管道安置规范流程的建立与临床应用  

Establishment and clinical application of the standard process of multi-channel placement for patients after gastrointestinal tumor surgery

作　　者：段珍奇 吴莲香[1] 陈燕[1] 叶新英[1] 赖芸香 DUAN Zhenqi;WU Lianxiang;CHEN Yan;YE Xinying;LAI Yunxiang(Department of Gastrointestinal Surgery,First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,Jiangxi,China)

机构地区：[1]赣南医学院第一附属医院胃肠外科,江西省赣州市341000

出　　处：《微创医学》2020年第6期712-714,735,共4页Journal of Minimally Invasive Medicine

基　　金：江西省卫计委科技计划项目(编号:20171111)。

摘　　要：目的探讨胃肠肿瘤术后患者多管道安置规范流程的建立与临床应用效果。方法选取胃肠肿瘤术后留置多管道的患者90例,利用随机数字表法分为观察组与对照组,各45例。对照组采取常规护理,观察组采用多管道安置规范流程护理。记录并比较两组患者活动依从性、临床相关指标(交接耗时、翻身耗时、非计划拔管率、皮肤损害率、心电导线故障率)、总舒适度及总满意度。结果观察组交接耗时、翻身耗时短于对照组,皮肤损害率、心电导线故障率明显低于对照组,活动依从率明显高于对照组(均P<0.05)。观察组的舒适度为91.11%,高于对照组的73.33%;护理满意度为95.56%,高于对照组的80.00%(均P<0.05)。两组的非计划拔管率比较,差异无统计学意义(P>0.05)。结论胃肠肿瘤术后患者多管道安置规范流程的建立有助于减少管道不良事件及心电导线故障的发生,提高护理工作效率及患者舒适度、满意度,值得在临床护理中推广。ObjectiveTo explore the establishment and clinical application of the standard process of multi-channel placement for patients after gastrointestinal tumor surgery.MethodsA total of 90 patients placed in multiple channels after gastrointestinal tumor surgery were selected,and they were divided into observation group and control group by the random number table method,with 45 cases in each group.The control group was given routine nursing,and the observation group was employed the standard process of multi-channel placement nursing.The activity compliance,clinical related indicators(handover duration,turn over duration,unplanned extubation rate,skin damage rate,electrocardiogram wires failure rate),total comfort and total satisfaction were recorded and compared between the two groups.ResultsThe observation group yielded shorter handover duration and turn over duration,lower skin damage rate and electrocardiogram wires failure rate,and higher activity compliance as compared to the control group(all P<0.05).The comfort of the observation group was 91.11%,higher than the 73.33%of the control group;the satisfaction of nursing in the observation group was 95.56%,higher than the 80.00%in the control group(all P<0.05).There was no statistically significant difference in the rate of unplanned extubation between the two groups(P>0.05).ConclusionThe establishment of the standard process of multi-channel placement for patients after gastrointestinal tumor surgery is conducive to reducing the occurrence of adverse events and electrocardiogram wires failure,improving the nursing efficiency,comfort and satisfaction of patients,which is worthy of promotion in clinical nursing.

关 键 词：胃肠肿瘤术后 多管道安置 规范流程 应用效果 

分 类 号：R473.73[医药卫生—护理学]