临床护理路径对腹腔镜胆囊切除术围术期并发症影响.docVIP

临床护理路径对腹腔镜胆囊切除术围术期并发症的影响 　　[摘要] 目的 探讨临床护理路径对预防腹腔镜胆囊切除术后并发症发生的效果。 方法 选择我院收治的行腹腔镜胆囊切除术的患者80例，将其随机分为路径组和对照组。两组患者均行腹腔镜胆囊切除术治疗，对照组患者行传统常规护理模式，路径组患者行临床护理路径模式，从入院开始建立临床护理路径表。观察比较两组患者术后并发症的总发生率、术后疼痛及护理工作满意度。 结果 路径组患者并发症的总发生率、术后VAS评分明显低于对照组（P0.05）；路径组患者对护理工作的满意率明显高于对照组（P0.05）。 结论 临床护理路径能有效预防腹腔镜胆囊切除术患者术后并发症的发生，促进患者术后康复。 　　[关键词] 临床护理路径；腹腔镜胆囊切除术；并发症 　　[中图分类号] R575.6 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0183-03 　　[Abstract] Objective To explore the effects of clinical nursing pathway in prevention postoperative complications of laparoscopic cholecystectomy. Methods 80 patientsconducted laparoscopic cholecystectomy in our hospital were selected and were randomly divided into pathway group and control group.Patients in two groups were conducted laparoscopic cholecystectomy.the control group was used traditional routine nursing mode，and the pathway group was used clinical nursing pathway mode.Clinical nursing pathway table were established at the beginning of admit.The incidence rate of postoperative complications，postoperative pain and satisfaction of nursing in two groups were observed and compared. Results The total incidence rate of postoperative complications， postoperative VAS score in pathway groupwere obvious lower than that of control group （P0.05）.Satisfaction of nursing in pathway group was obvious higher than that of control group （P0.05）. Conclusion Clinical nursing pathway can prevent the incidence of postoperative complications oflaparoscopic cholecystectomy effectively and promote postoperative recovery of patients. 　　[Key words] Clinical nursing pathway；Laparoscopic cholecystectomy；Complications 　　近年来随着腹腔镜技术在胆道外科临床诊断和治疗中的应用推广，其创伤小、出血少、恢复快等优势越来越受到广大患者及临床外科术者的青睐，但由于腹腔镜手术野范围小及麻醉用药、麻醉方法等因素，也增加了并发症的发生，这对腹腔镜术后并发症的护理及预防对策也提出了更高的要求[1-3]。临床护理路径（clinical nursing pathway，CNP）是美国20世纪年代推行的一种单病种质量管理的新型护理管理模式，提前制定针对单病种的护理服务程序表是该模式的特色，从该病种患者入院到出院的护理工作均按照制定好的护理服务程序表进行，在节约资源的同时也让患者获得最佳的护理服务质量，从而促进患者康复[4-5]。本研究以传统护理模式为对照，将CNP管理模式应用于腹腔镜胆囊切除术后患者，对预防其术后并发症发生的效果进行探讨分析。 　　1 资料与方法