基于循证护理的中医临床路径在肛肠疾病患者中的应用研究  

Research on the Application of Traditional Chinese Medicine Clinical Pathway Based on Evidence-Based Nursing in Patients with Anorectal Diseases

作　　者：陆姜燕 于楠 张丽英 任畅 白娜 LU Jiangyan;YU Nan;ZHANG Liying;REN Chang;BAI Na(Inner Mongolia Hospital of Traditional Chinese Medicine,Hohhot,Inner Mongolia Autonomous Region,010020,China)

机构地区：[1]内蒙古自治区中医医院,内蒙古呼和浩特010020

出　　处：《中外医疗》2024年第28期170-173,186,共5页China & Foreign Medical Treatment

基　　金：2022年度自治区卫生健康科技计划(202202076)。

摘　　要：目的探讨基于循证护理的中医临床路径在肛肠疾病患者中的应用效果。方法回顾性选取2022年1月—2024年3月在内蒙古自治区中医医院接受手术治疗的400例肛肠疾病患者的临床资料。以不同护理方法分为两组,每组200例,常规组采用常规护理,路径组额外实施基于循证护理的中医临床路径,对比两组的术后恢复指标、负性情绪、并发症发生率和护理满意度。结果护理后,路径组的肛门排气时间、肠鸣音恢复时间、首次排便时间均短于常规组,差异有统计学意义(P均<0.05)。护理后,路径组的焦虑和抑郁评分均低于常规组,差异有统计学意义(P均<0.05)。路径组的并发症总发生率低于常规组,差异有统计学意义(P<0.05)。路径组的护理满意度为98.00%(196/200),高于常规组的87.00%(174/200),差异有统计学意义(χ^(2)=17.441,P<0.05)。结论基于循证护理的中医临床路径在肛肠疾病患者中的应用能够显著改善患者的术后恢复情况,降低负性情绪,减少术后并发症,并提高护理满意度。Objective To explore the application effect of traditional Chinese medicine clinical pathway based on evidence-based nursing in patients with anorectal diseases.Methods The clinical data of 400 patients with anorectal diseases who underwent surgical treatment in Inner Mongolia Hospital of Traditional Chinese Medicine from January 2022 to March 2024 were retrospectively selected.According to different nursing methods,they were divided into two groups,200 cases in each group.The routine group was given routine nursing,and the path group was additionally given traditional Chinese medicine clinical pathway based on evidence-based nursing.The postoperative recovery index,negative emotion,complication rate and nursing satisfaction were compared between the two groups.Results After nursing,the anal exhaust time,bowel sound recovery time and first defecation time in the path group were shorter than those in the routine group,and the differences were statistically significant(all P<0.05).After nursing,the anxiety and depression scores of the path group were lower than those of the routine group,and the differences were statistically significant(both P<0.05).The total incidence of complications in the path group was lower than that in the routine group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the path group was 98.00%(196/200),which was higher than 87.00%(174/200)of the routine group,and the difference was statistically significant(χ^(2)=17.441,P<0.05).Conclusion The application of traditional Chinese medicine clinical pathway based on evidence-based nursing in patients with anorectal diseases can significantly improve the postoperative recovery of patients,reduce negative emotions,reduce postoperative complications,and improve nursing satisfaction.

关 键 词：循证护理 中医临床路径 肛肠疾病 术后恢复 护理满意度 

分 类 号：R47[医药卫生—护理学]