临床护理路径在阑尾炎腹腔镜切除术中应用探析.docVIP

临床护理路径在阑尾炎腹腔镜切除术中的应用探析 　　[摘要] 目的 剖析临床护理路径在阑尾炎腹腔镜切除术中的应用价值。 方法 选择2016年7月1日～2017年7月31日本院接诊且行腹腔镜切除治疗的阑尾炎患者45例，并根据护理方式对其进行分组：实验组（n=24）采用临床护理路径，对照组（n=21）采用常规护理方案。观察两组患者护理后心理状态的变化情况，比较住院时间和并发症发生率等指标。 结果 实验组护理后的HAMD与HAMA评分均明显低于对照组，组间差异有统计学意义（P0.05）。实验组的住院时间为（5.02±1.39）d，明显比对照组的（9.15±1.41）d短，组间差异有统计学意义（P0.05）。实验组的并发症发生率为4.17%，明显比对照组的19.05%低，组间差异有统计学意义（P0.05）。 结论 利用临床护理路径对阑尾炎腹腔镜切除术患者进行施护，可显著改善其心理状态，减少手术并发症，促进病情康复。 　　[关键词] 阑尾炎；腹腔镜切除术；临床护理路径 　　[中图分类号] R574 [文献标识码] B [文章编号] 1673-9701（2017）32-0135-03 　　[Abstract] Objective To analyze the application value of clinical nursing pathways in laparoscopic resection of appendicitis. Methods A total of 45 patients with appendicitis who underwent laparoscopic resection admitted in our hospital from July 1， 2016 to July 31， 2017 were enrolled and grouped according to the nursing method. The experimental group（n=24） was given clinical care pathways， and the control group（n=21） was treated with conventional care regimen. The changes of the psychological status of the two groups were observed， and the indicators including the hospitalization time and the incidence of complications were compared. Results The scores of HAMD and HAMA in the experimental group after nursing were significantly lower than those in the control group， and the difference was significant（P0.05）. The time of hospitalization was（5.02±1.39） d in the experimental group， which was significantly shorter than that of the control group（9.15±1.41） d， and the difference was significant（P0.05）. The incidence of complications in the experimental group was 4.17%， which was significantly lower than that in the control group（19.05%）， and the difference was significant（P0.05）. Conclusion Nursing of appendicitis patients with laparoscopic resection by using clinical nursing pathways can significantly improve their mental state， reduce the complications and promote the rehabilitation of the disease. 　　[Key words] Appendicitis； Laparoscopic resection； Clinical nursing pathways