临床护理路径在结肠癌患者围手术期健康教育中效果评价.docVIP

临床护理路径在结肠癌患者围手术期健康教育中的效果评价 　　【摘要】 目的 探讨临床护理路径在结肠癌患者围术期健康教育中的应用效果。方法 74例行结肠癌根治术患者， 随机分为实验组与对照组， 各37例。实验组按照制定好的临床护理路径进行健康教育， 对照组采用传统方式进行健康教育。比较两组患者对各规章制度、护理知识的掌握情况以及住院时间、对护理的满意度。结果 实验组患者对基本规章制度、护理知识掌握程度、遵医率和患者满意度较对照组高， 差异有统计学意义（P0.05）；实验组患者肛门通气时间、下床时间、住院时间、并发症发生例数均优于对照组， 差异有统计学意义（P0.05）。结论 对结肠癌患者按临床护理路径进行健康教育， 能提高结肠癌患者的临床疗效， 减少住院时间， 改善护理质量， 提高护理满意度， 促进护患和谐。 　　【关键词】 临床护理途径；结肠癌；围术期；健康教育 　　DOI：10.14163/j.cnki.11-5547/r.2015.16.151 　　【Abstract】 Objective To investigate the application effect of clinical nursing path in perioperative health education for colon cancer patients. Methods A total of 74 patients undergoing radical operation for colon cancer were randomly divided into experimental group and control group， with 37 cases in each group. The experimental group received health education by clinical nursing path， and the control group received health education by traditional method. Understanding of rules and nursing knowledge， hospital stay and satisfaction of nursing were compared between the two groups. Results The experimental group had higher mastery degree of basic rules， nursing knowledge， prescription following rate and satisfaction than the control group， and their difference had statistical significance （P0.05）； and it also had better anus exhaust time， off-bed time， hospital stay， and complications cases than the control group， and their difference had statistical significance （P0.05）. Conclusion Health education by clinical nursing path for colon cancer patients can improve their clinical effect， reduce hospital stay， improve nursing quality along with satisfaction， and promote harmonious relationship between nurse and patients. 　　【Key words】 Clinical nursing path； Colon cancer； Perioperative； Health education 　　健康教育是临床护理工作的组成部分， 其目的主要是帮助患者了解与自身疾病相关的医疗知识， 尽快适应入院治疗并提高自我保健的能力， 养成对疾病恢复有益的生活习惯， 消除患者不良精神反应[1]。传统的健康教育一般采取口头传教、宣传展板等方式， 虽然能到一定的作用， 但是作用差强人意。与传统健康教育不同， 临床护理路径（CNP）是根据患者的病情在患者入院即制定的护理计划， 是由护士计划实施的围绕患者身心健康有针对性的护理措施， 在此过程中让患者主动参与护理过程， 使主动护理与主动参与相