临床护理路径在妇产科择期手术患者中应用效果评价.docVIP

临床护理路径在妇产科择期手术患者中应用效果评价 　　[摘要] 目的 研究临床护理路径（CNP）在妇产科择期手术患者护理过程中的应用效果。 方法 以本院2013年1月~2014年1月妇产科收治的110例择期手术患者为研究对象，随机分为A组与B组，所有患者均积极进行基础治疗与护理，A组患者在此基础上增加临床护理路径内容，比较两组患者的术前心理状态、术中应激水平、术后生活质量评分和护理满意度。 结果 A组的术后焦虑、抑郁、恐惧和人际关系敏感得分分别为（2.03±0.48）、（1.84±0.27）、（1.74±0.30）、（1.92±0.31）分，均显著低于B组的（2.58±0.54）、（2.35±0.38）、（2.43±0.49）、（2.17±0.44）分（P　　[关键词] 临床护理路径；妇产科；手术 　　[中图分类号] R473.71[文献标识码] B[文章编号] 1674-4721（2014）06（b）-0119-04 　　 　　Evaluation of the application effect of clinical nursing pathway for patients of gynecology and obstetrics receiving selective operation 　　CHEN Zhi-hong YU Yun-mei DIAO Shi-ping 　　Department of Gynecology and Obstetrics,Dongguan Huangjiang Hospital of Guangdong Province,Dongguan 523750,China 　　[Abstract] Objective To explore the application effect of clinical nursing pathway (CNP) for patients of gynecology and obstetrics receiving selective operation. Methods 110 patients who were admitted to the department of gynecology and obstetrics in our hospital from January 2013 to January 2014 and received selective operation were selected as research subjects.They were randomly divided into thegroup A and the group B,and all patients were given active basic treatment and nursing.Patients in the group A also received CNP on the basis of the basic nursing. The preoperative mental conditions,stress level during operation,postoperative life quality and satisfaction degree of nursing between the two groups were compared. Results Score of postoperative anxiety,depression,fear and sensitivity to interpersonal relations in the group A were (2.03±0.48),(1.84±0.27),(1.74±0.30) and (1.92±0.31) points respectively,which were all significantly lower than those of (2.58±0.54),(2.35±0.38),(2.43±0.49) and (2.17±0.44) points in the group B respectively (P 　　大部分妇产科的手术并非急性手术，且患者在术前，应该做好一系列的生理和心理准备，所以，择期手术是最好的选择[1-2]。有研究显示，择期手术患者在手术等待期存在不同程度的焦虑，且这种焦虑对患者的生活质量和手术效果有一定的负面影响[3-4]。以往通常采用个体化的指导来帮助患者有效利用手术等待期，以使其达到最佳的心理和生理状态，但由于大部分择期手术患者只在术前几天入院，且医疗资源与医疗服务需求之间的矛盾越来越大，所以很难做到面面俱到[5-7]。临床