临床护理路径用于子宫全切除术效果分析.docVIP

临床护理路径用于子宫全切除术的效果分析 　　【摘要】 目的 探讨临床护理路径用于子宫全切除术的效果。方法 130例行子宫全切除术患者， 随机分为对照组和观察组， 每组65例。对照组患者行常规护理， 观察组患者行临床护理路径干预。对比两组患者的护理干预效果。结果 观察组患者术后各项指标恢复时间均显著短于对照组， 差异具有统计学意义（Plt;0.05）。观察组并发症发生率为7.7%（5/65）， 其中疼痛3例， 腹胀2例;对照组并发症发生率为21.5%（14/65）， 其中疼痛9例， 腹胀5例;观察组并发症发生率显著低于对照组（Plt;0.05）。 观察组与对照组护理满意度评分分别为（95.2±2.9）、（85.3±4.1）分， 比较差异有统计学意义（Plt;0.05）。结论 以临床护理路径方式对子宫全切除术患者进行干预效果显著， 可促进患者尽快恢复， 减少并发症发生， 可在临床推广应用。 　　【关键词】 临床护理路径;子宫全切除术;并发症 　　DOI：10.14163/j.cnki.11-5547/r.2018.03.098 　　【Abstract】 Objective To discuss the effect of clinical nursing pathway on total hysterectomy. Methods A 　　total of 130 patients undergoing total hysterectomy were randomly divided into control group and observation group， with 65 cases in each group. The control group received conventional nursing， and the observation group received clinical nursing pathway intervention. The nursing intervention effect in two groups was compared. Results The observation group had obviously shorter postoperative indicators recovery time than the control group， and the difference was statistically significant （Plt;0.05）. The observation group had incidence of complications as 7.7% （5/65）， including 3 pain cases and 2 abdominal distention cases， while the control group had incidence of complications as 21.5% （14/65）， including 9 pain cases and 5 abdominal distention cases. The observation group had obviously lower incidence of complications than the control group （Plt;0.05）. The observation group and control group had nursing satisfaction score respectively as （95.2±2.9） and （85.3±4.1） points， and the difference was statistically significant （Plt;0.05）. Conclusion Clinical nursing pathway shows remarkable intervention effect for patients undergoing total hysterectomy， and can promote quick recovery and reduce the occurrence of complications. It can be promoted and applied in clinic. 　　【Key words】 Clinical nursing pathway; Total hysterectomy; Complications 　　子?m全切除术是临床上治疗多种疾病的有效措施， 其需将患者子宫全部切除， 手术范围及创伤性均较大， 若不做好有效的护理