临床护理路径在镇痛镇静条件下超声消融子宫肌瘤中应用.docVIP

临床护理路径在镇痛镇静条件下超声消融子宫肌瘤中的应用 　　摘要：目的 探讨临床护理路径在镇痛镇静条件下高强度聚焦超声消融（HIFU）子宫肌瘤中的应用效果。方法 将210例接受镇痛镇静条件下HIFU治疗子宫肌瘤患者随机分为对照组和观察组各105例，对照组实施常规护理方法，观察组采用临床护理路径进行护理，比较两组临床护理效果。?Y果 入院当天两组患者焦虑自评分（SAS）比较，差异无统计学意义（P0.05）；出院当天观察组患者的SAS评分低于对照组，差异有统计学意义（P0.05）。观察组患者围手术期不良反应发生率明显低于对照组，对健康知识的掌握率和护理满意度明显优于对照组，差异有统计学意义（P0.05）。结论 对镇痛镇静条件下HIFU治疗子宫肌瘤患者应用临床护理路径实施全程护理，可改善患者焦虑情绪，降低不良反应的发生率，提高患者对健康知识的掌握率和护理满意度，提高临床护理质量，改善患者就医感受，促进医患和谐，值得临床推广应用。 　　关键词：临床护理路径；高强度聚焦超声；子宫肌瘤 　　中图分类号：R473.73 文献标识码：A 文章编号：1006-1959（2017）13-0054-03 　　Abstract：Objective To investigate the clinical nursing path in ablation of high intensity focused ultrasound（HIFU）under the condition of analgesic and sedative effect in uterine leiomyoma.Methods 210 cases underwent HIFU treatment under sedation and analgesia in patients with uterine leiomyoma were randomly divided into control group and observation group of 105 cases，the control group implemented routine nursing method，the observation group used clinical nursing the path of nursing，clinical nursing effect was compared between the two groups.Results On the day of admission of two groups of patients with Self Rating Anxiety Scale （SAS），the difference was not statistically significant（P0.05）；on the day of discharge SAS scores of the observation group lower than in the control group，the difference was statistically significant（P0.05）.The observation group of patients with perioperative adverse reaction rate was significantly lower than the control group，the health knowledge rate and nursing satisfaction were significantly better than the control group，the difference was statistically significant（P0.05）.Conclusion The application of clinical nursing path in patients with uterine leiomyoma therapy on analgesia and sedation HIFU under the condition of the implementation of the whole nursing care can improve the anxiety of patients， reduce the incidence of adverse reactions and improve patients health knowledge rate and nursing satisfaction，improve the quality of clinical care，