临床护理路径在胰十二指肠切除术患者围术期护理中的应用  

作　　者：黄春丽[1] 

机构地区：[1]惠州市中心人民医院手术室,惠州516001

出　　处：《当代护士（下旬刊）》2021年第5期69-72,共4页Modern Nurse

摘　　要：目的探讨临床护理路径在胰十二指肠切除术患者围术期护理中的实施效果。方法纳入我院2018年1月—2019年2月80例接受胰十二指肠切除术患者作为研究对象,按照随机数字表法分为对照组和观察组两组(各40例),对照组给予围术期常规护理办法,观察组实施临床护理路径干预,比较分析两组患者术后恢复情况及并发症发生率。结果观察组患者术后首次排气、首次排便、肠鸣音恢复、手术时间、住院时间等情况均显著优于对照组(P<0.05);观察组患者术后出血、腹腔感染、吻合口瘘及急性疼痛等并发症发生率明显低于对照组(P<0.05),差异有统计学意义。结论临床护理路径应用于胰十二指肠切除术患者围术期护理,可以有效减少患者并发症发生状况,减轻创伤,促进术后康复,安全高效,值得临床推广。Objective To explore the effect of clinical nursing pathways in perioperative care of patients undergoing pancreaticoduodenectomy.Methods In our hospital from January 2018 to February 2019,80 patients who underwent pancreaticoduodenectomy were included in the study.They were divided into two groups(40 cases each)according to the random number table method.During the perioperative routine nursing method,the observation group implemented the clinical nursing path,and compared the postoperative recovery and complication rate between the two groups.Results In the observation group,the first venting,first bowel movement,recovery of bowel sounds,operation time and hospitalization time were significantly better than the control group(P<0.05).The postoperative hemorrhage,abdominal infection,anastomotic leakage and The incidence of complications such as acute pain was significantly lower than that of the control group(P<0.05),and the difference was statistically significant.Conclusion The clinical nursing path is applied to the perioperative nursing of patients with pancreaticoduodenectomy,which can effectively reduce the occurrence of complications,reduce trauma,promote postoperative rehabilitation,safe and efficient,and is worthy of clinical promotion.

关 键 词：临床护理路径 胰十二指肠切除术 围术期护理 应用效果 

分 类 号：R473.6[医药卫生—护理学]