临床护理路径及术后延续护理干预在内镜治疗胆结石患者中的应用效果  

The Application Effects of Clinical Nursing Pathway and Postoperative Continuing Nursing Intervention for Patients with Gallstones Treated by Endoscopy

作　　者：张瑞花 周桂金 ZHANG Ruihua;ZHOU Guijin(Department of Surgery,Shandong First Rehabilitation Hospital,Linyi,Shandong,276000,China)

机构地区：[1]山东省第一康复医院外科,山东临沂276000

出　　处：《中外医疗》2025年第4期99-102,共4页China & Foreign Medical Treatment

摘　　要：目的分析对内镜治疗胆结石患者开展临床护理路径联合术后延续护理干预的应用效果。方法随机选取2021年10月—2023年10月山东省第一康复医院收治的90例胆结石患者作为研究对象,根据不同护理方法分为两组,各45例。对照组行常规护理,观察组行临床护理路径配合术后延续护理。比较两组患者的焦虑程度、护理依从性、自我管理能力、术后下床活动时间与并发症发生率。结果护理后,观察组患者的焦虑情绪评分为(9.12±0.65)分,低于对照组的(10.72±0.79)分,差异有统计学意义(t=10.491,P<0.001);护理后,观察组患者护理治疗依从性评分以及出院后自我管理能力评分均高于对照组,差异均有统计学意义(P均<0.05);观察组患者的术后下床时间短于对照组患者,差异有统计学意义(P<0.05);观察组患者发生的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论通过开展临床护理路径联合术后延续护理可有效提高临床内镜治疗胆结石患者的护理服务质量,提升患者的治疗依从性以及自护能力,有助于术后患者身体恢复。Objective To analyze the application effects of carrying out the clinical nursing pathway combined with postoperative continuing nursing intervention for patients with gallstones treated by endoscopy.Methods A total of 90 patients with gallstones admitted to Shandong First Rehabilitation Hospital from October 2021 to October 2023 were randomly selected as study objects.According to different nursing methods,they were divided into two groups,with 45 cases in each group.The control group received routine nursing,while the observation group received the clinical nurs⁃ing pathway combined with postoperative continuing nursing.The anxiety levels,nursing compliance,selfmanagement abilities,postoperative time of getting out of bed and the incidence of complications were compared be⁃tween the two groups.Results After nursing,the anxiety score of the patients in the observation group was(9.12±0.65)points,which was lower than that of the control group[(10.72±0.79)points],and the difference was statistically signifi⁃cant(t=10.491,P<0.001).After nursing,the scores of nursing treatment compliance and self-management ability after discharge of the patients in the observation group were both higher than those of the control group,and the differences were statistically significant(both P<0.05).The postoperative time of getting out of bed of the patients in the observa⁃tion group was shorter than that of the patients in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the differ⁃ence was statistically significant(P<0.05).Conclusion Carrying out the clinical nursing pathway combined with postoperative continuing nursing can effectively improve the quality of nursing services for patients with gallstones treated byendoscopy in clinical practice, enhance patients' treatment compliance and self-care abilities, and contribute to thephysical recovery of patients after surgery.

关 键 词：胆结石 内镜治疗 临床护理路径 延续护理干预 效果分析 

分 类 号：R473.6[医药卫生—护理学]