临床护理路径在胃癌根治术应用.docVIP

临床护理路径在胃癌根治术的应用 　　【摘要】目的:探讨临床护理路径在胃癌根治术的应用效果。方法:55例胃癌患者分为观察组30例和对照组25例,观察组用临床护理路径护理,对照组用常规护理,观察并比较两组的临床护理效果。结果:观察组满意度91.6%高于对照组77.6%(χ2=3.789,P0.05);观察组卧床时间、住院天数、医疗费用均低于对照组(t=2.145,t=2.2147,t=2.3178,P0.05)。结论:应用临床护理路径对胃癌根治术患者给予全程护理,可有效地提高护理质量及患者的满意度。 　　【关键词】临床护理路径;胃癌根治术;外科治疗 　　【中图分类号】R473.73【文献标识码】A【文章编号】1007-8517(2010)14-167-2 　　 　　Application of clinicalnursing passway to patients with gastric cancer treated with radical gastrectomy 　　Wang Liyan 　　Department of gastrointestinal Surgery,Huizhou Central Hospital,Huizhou,Guangdong516001,China 　　【Abstract】Objective:To investigate the application effect of clinical nursing passway to patients with gastriccancer radicalgastrectomy.Methods:50 patients treated with radicalgastrec- tomy were randomly divided into observation group(n=30)and control group(n=25). Clinical nursing passway was applied in observation group and routine nursing care was taken in control group.The effect of clinical nursing care was observed and compared. Results:Satisfaction 91.6% in observation group were higher than that 77.6% in control group (χ2=3.789, P0.05);The bed rest time、length of hospitalization and medical costs were lower in observation group than those in control group(t=2.145,t=2.2147,t =2.3178, P0.05). Conclusion:Clinical nursing passway used to provide patientswith rapid rehabilitation surgery can increase patients’satisfaction and quality of life. 　　【Key words】Clinical nursing passway;Radical gastrectomy for cancer;surgical treatment 　　 　　临床路径是指由医生护士与其他人员对一特定的诊断和手术,做最适当的有顺序和时间性的照顾计划,以减少康复的延迟及资源的浪费,使服务对象获得最佳的照顾品质[1]。笔者选择临床护理路径的医疗服务模式(clinical ruvsing path,CNP),应用该路径对30例胃癌围手术期患者实施护理,取得了良好效果,现报告如下。 　　1资料与方法 　　1.1一般资料收集2007年5月～2009年12月行胃癌根治术患者55例(男29例,女26例)。年龄38～65岁,平均51.5岁;观察组30例,对照组25例;两组患者在年龄、病情、文化程度、经济状况、治疗方法方面比较差异无统计学意义(P0.05),具有可比性。 　　1.2评价标准根据日常护理记录及临床护理路径表的汇总,主要列举以下主要指标作为评判标准:比较两组患者在平均住院日、平均住院费用、健康知识掌握情况、术后生活自理能力的恢复四个方面的差异性。 　　1.3统计学方法所有数据使用SPSS12.0统计软件处理,用χ2检验和t检验,P0.05为差异有统计学意义。 　　2结果 　　观察组满意度91.6%高于对照组77.