摘要
目的:探讨分析对接受经尿道前列腺电切术治疗的前列腺增生症患者实施临床路径护理的效果。方法 :选取2011年3月~2014年5月间我院收治的接受经尿道前列腺电切术治疗的良性前列腺增生症患者328例作为研究对象,采用随机数字表法将其分为对照组(164例)和治疗组(164例),为对照组患者进行常规护理,为治疗组患者在进行常规护理的基础上实施临床路径护理干预,观察对比两组患者的恢复情况、并发症的发生情况及对护理工作的满意度,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果:手术后,治疗组患者的各项生命体征较手术前相比无差异(P>0.05),不具有统计学意义,而对照组患者的各项生命体征明显差于手术前,差异显著(P<0.05),具有统计学意义。治疗组患者的临床恢复情况明显优于对照组患者,差异显著(P<0.05),具有统计学意义。治疗组患者的并发症发生率明显低于对照组患者,差异显著(P<0.05),具有统计学意义。治疗组患者对护理工作的满意度明显高于对照组患者,差异显著(P<0.05),具有统计学意义。结论 :对接受经尿道前列腺电切术治疗的前列腺增生症患者实施临床路径护理的临床效果显著,此方法不仅有利于稳定患者的生命体征,促进其病情的恢复,还能减少术后并发症的发生率,提高患者对护理工作的满意度,值得在临床上推广应用。
Objective To explore the application value of clinical nursing path for patients undergoing transurethral resection of prostate. Methods Selected 328 cases patients with benign prostatic hyperplasia who were doctored in our hospital during 2011 March to 2014 May,it was randomly divided into treatment group and control group, 164 cases in each group, all the patients were treated by transurethral resection of the prostate. The control group were treated with routine care, the treatment group were treated by clinical nursing pathway. Statistics and comparative analysis on two groups of patient vital signs parameters, recovery, complications and nursing satisfaction. Results The treatment group after operation rectal temperature and heart rate compared with the control group, P<0.05, the difference was statistically significant; The treatment group indwelling catheter time, continuous bladder irrigation and days of hospital staying compared with control group, P<0.05, the difference was statistically significant; The number of cases in the group of treatment bladder spasm and hematuria occurred compared with control group, P<0.05, the difference was statistically significant; Compared with the control group the incidence of complications in patients with the treatment group, P<0.05, the difference was statistically significant; The treatment group satisfaction compared with control group, P<0.05, the difference was statistically significant. Conclusion Clinical nursing path can be beneficial to the stability of transurethral resection of the prostate of the vital signs of the patients, it can promote patient recovery, reduce complications, and improve nursing satisfaction of patients.
