临床护理路径在腹股沟疝患者手术中的实施效果.docVIP

临床护理路径在腹股沟疝患者手术中的实施效果 　　[摘要] 目的 探讨临床护理路径在腹股沟疝患者手术中的实施效果。方法 整群选取2014年5月―2015年6月期间在该院接受治疗的110例腹股沟疝患者作为研究对象，将患者按照数学随机法分为A组和B组，每组55例患者。110例患者均采用手术治疗，A组55例患者给予常规手术护理，B组55例患者在常规护理的基础上采用临床护理路径，即参照临床护理路径进行护理。观察、比较两组患者并发症情况、住院时间、治疗总费用以及健康知识掌握情况。结果 B组患者的并发症发生率（0.0%）、住院时间（3.35±0.54） d、治疗总费用（6288.4±85.8）元以及健康知识掌握率（95.4%）均明显优于A组患者（9.0%、5.15±1.30 d、7841.6±150.5元、69.0%、），比较差异具有统计学意义（P中国论文网 /6/view-7249535.htm 　　[关键词] 临床护理路径；腹股沟疝；手术；护理效果 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0145-03 　　The Effect of Clinical Nursing Pathway in Patients with Inguinal Hernia Surgery 　　ZHANG Jin-mei， SU Jian-li 　　Second Department of General Surgery， The First Affiliated Hospital of Baotou Medical College， Baotou， Inner Mongolia Autonomous Region， 014010 China 　　[Abstract] Objective To explore the effect of clinical nursing pathway in patients with inguinal hernia surgery. Methods 110 cases with inguinal hernia treated in our hospital from May 2014 to June 2015 were selected as the subjects and divided into group A and group B with 55 cases in each in accordance with the mathematical stochastic method. All the patients received surgical treatment. Both groups were treated by the conventional nursing， in addition， group B were additionally treated by the clinical nursing pathway， namely， the nursing based on the clinical nursing pathway. The incidence of complications， length of stay， and total cost of treatment and degree of mastering the health knowledge of the two groups were observed and compared. Results Compared with group A， group B had much lower incidence of complications （0 vs 9.0%）， obviously shorter length of stay [（3.35±0.54） d vs （5.15±1.30）d] ， much more total cost of treatment [（6288.4±85.8） yuan vs （7841.6±150.5） yuan ] and significantly higher rate of mastering the health knowledge （95.4% vs 69.0%） with statistically significant differences （P 　　1 资料与方法 　　1.1 一般资料 　　整群选取2014年5月―2015年6月期间在该院接受治疗的110例腹股沟疝患者作为研究对象，110例患者按照数学随机法分为A组（55例）和B组（55例）。A组患者中男性患者49例，女性患者6例