临床护理路径对LEEP治疗宫颈病变患者影响及效果分析.docVIP

临床护理路径对LEEP治疗宫颈病变患者的影响及效果分析 　　【摘要】 目的 探讨临床护理路径对行宫颈环形电切术（LEEP）治疗宫颈病变患者的影响及效果。方法 136例通过LEEP手术治疗的宫颈病变患者， 随机分为观察组和对照组， 各68例。对照组患者给予常规护理， 观察组患者给予临床护理路径进行干预。对比两组患者的临床护理效果及满意度。结果 观察组手术时长（6.5±1.3）min、术中出血量（5.0±1.6）ml均优于对照组的（15.5±1.5）min、（11.5±1.6）ml， 差异均具有统计学意义（P0.05）；观察组术中不良反应发生率为5.88%， 低于对照组的20.59%， 差异具有统计学意义（P0.05）。观察组护理满意度为97.06%， 高于对照组的76.47%， 差异具有统计学意义（P0.05）。观察组患者治愈率为97.06%， 高于对照组的77.94%， 差异具有统计学意义（P0.05）。结论 对行LEEP治疗的宫颈病变患者采用临床护理路径进行干预可有效提高患者的治疗效果及满意度， 并可以减少手术创伤， 缩短治疗时间， 减少治疗不良反应， 值得临床广泛使用和推广。 　　【关键词】 宫颈病变；宫颈环形电切术；围术期；临床护理路径 　　DOI：10.14163/j.cnki.11-5547/r.2017.04.076 　　【Abstract】 Objective To explore the influence of clinical nursing pathway on cervical lesions patients treated by loop electrosurgical excision procedure （LEEP） and its effect. Methods A total of 136 lesions patients treated by LEEP operation were randomly divided into observation group and control group， with 68 cases in each group. The control group received conventional nursing， and the observation group received clinical nursing pathway for intervention. Comparison were made on clinical nursing effect and satisfaction degree in two groups. Results The observation group had operation time as （6.5±1.3） min， intraoperative bleeding volume as （5.0±1.6） ml， which were all better than （15.5±1.5） min and （11.5±1.6） ml in the control group， and their difference had statistical significance （P0.05）. The observation group had lower incidence of adverse reactions as 5.88% than 20.59% in the control group， and the difference had statistical significance （P0.05）. The observation group had nursing satisfaction degree as 97.06%， which was higher than 76.47% in the control group， and the difference had statistical significance （P0.05）. The observation group had cure rate as 97.06%， which was higher than 77.94% in the control group， and the difference had statistical significance （P0.05）. Conclusion For cervical lesions patients treated by LEEP， clinical nursing pathway for intervention can effectively increa