临床护理路径对前列腺电切术患者康复的效果分析.PDFVIP

324 West China Medical Journal Vol.31 No.2 Feb. 2016 2016 31 2 , , 华西医学 , （ ） ·临床护理· 临床护理路径对前列腺电切术患者 康复的效果分析 但丹，杨清荣，蔡曾琴，刘玲 四川大学华西医院泌尿外科（成都 610041 ） 【摘要】 目的 探讨临床护理路径对前列腺电切术（TURP ）患者相关康复指标的影响。方法 选取 2010 年 7 月－ 2014 年 3 月收治的 241 例采用 TURP 的患者，随机分为路径组 121 例，常规对照组（常规组）120 例，观察两 组患者护理结果。结果 路径组膀胱痉挛、继发性出血、尿道狭窄并发症发生率低于常规组，平均住院时间、膀胱 冲洗时间、尿管置留时间等卫生经济学指标均低于常规组，差异均有统计学意义（P ＜ 0.05 ）。结论 对进行 TURP 治疗患者采用临床护理路径，能够使患者并发症降低，卫生经济学指标和护理质量得到提升。 【关键词】 经尿道前列腺电切术；并发症；临床护理路径；护理质量 Effect of Clinical Nursing Pathway on Rehabilitation of Patients after Prostate Resection Dan Dan, Yang Qingrong, Cai Zengqin, Liu Ling Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China Corresponding author: Liu Ling, Email: liuling602008@163.com 【Abstract 】 Objective To explore the effect of clinical nursing pathway on rehabilitation indicators in patients who had undergone transurethral resection of prostate (TURP). Methods A total of 241 patients underwent TURP between July 2010 and March 2014 were randomly divided into path group (121 cases) and control group (120 cases). The nursing results of the two groups were observed. Results The complication rate of bladder spasm, secondary hemorrhage, urethral stricture in path group were lower than those in the control group with significant differences (P ＜ 0.05). Conclusion The performance of clinical nursing pathway on TURP patients may reduce the complications rate, and promote the health economics indicators and quality of care. 【Key words 】 Transurethral resection of prostate; Complication; Clinical nursing path; Nursing quality 前列腺电切术（TURP ），因切割锐利有效、电凝 更加了解整个护理过程，积极主动参与其中，以减少 止血迅速可靠、冲洗系统理想等技术较为先进，创伤 并发症的发生，使患者术后迅速康复。现报告如下。 较小，治疗效果较好，在前列腺疾病治疗中得到广泛 1