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基于护患合作模式的临床护理路径对肺癌手术患者的应用效果评价 被引量:5

Application effect of clinical nursing pathway based on nurse-patient cooperative nursing model in patients after lung cancer surgery
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摘要 目的探讨基于护患合作模式的肺癌外科治疗临床护理路径(CNP)对肺癌手术患者围手术期护理质量的影响。方法组建肺癌外科专业CNP小组,采用文献法和问卷调查法收集护患双方的临床需求形成《肺癌患者手术治疗CNP表》;方便抽样法选取2020年6月至2021年10月于海南省人民医院胸外科住院手术治疗的120例肺癌患者为研究对象,按患者入院先后将其分为对照组和观察组,每组60例。对照组患者采用肺癌手术治疗及常规围术期护理,观察组患者采用肺癌手术治疗及CNP表进行围术期护理。比较两组患者的平均住院日、术后平均置管时间、并发症发生情况、日常生活活动能力(ADL)评分和护理满意度。结果观察组患者的平均住院时间为9(8,12)d,明显短于对照组的13(10,16)d,术后平均置管时间为4(3,4)d,明显短于对照组的4(3.25,5)d,差异均有统计学意义(P<0.05);观察组和对照组患者术后并发症发生率分别为21.67%和25.00%,差异无统计学意义(P>0.05);观察组患者术后3d的ADL评分为95(81.25,95)分,明显高于对照组的85(80,90)分,差异有统计学意义(P<0.05);观察组患者的护理满意度为90.00%,明显高于对照组的73.33%,差异有统计学意义(P<0.05)。结论基于护患合作模式的肺癌外科治疗CNP能给临床护士清晰的护理工作指引,缩短肺癌外科手术患者的住院时间,提高整体护理质量和护患双方满意度,实现护患双赢。 Objective To investigate the effect of the clinical nursing pathway(CNP)based on nurse-patient co-operative nursing model on the quality of perioperative nursing in patients after lung cancer surgery.Methods A CNP team specializing in lung cancer surgery was formed,and the clinical needs of both nurses and patients were collected by literature method and questionnaire survey to form“the CNP table for lung cancer surgical treatment”.With convenient sampling method,120 lung cancer patients hospitalized in Department of Thoracic Surgery,Hainan General Hospital for surgical treatment from June 2020 to October 2021 were selected as the research subjects.They were divided into a control group and an observation group according to the order of admission,with 60 patients in each group.The control group was treated with routine perioperative nursing,and the observation group was treated with CNP perioperative nursing.The av-erage length of hospital stay,mean postoperative catheter placement time,incidence of complications,score of Activities of Daily Living(ADL),and nursing satisfaction were compared between the two groups.Results The average length of hospital stay of patients in the observation group was 9(8,12)days,which was significantly shorter than 13(10,16)days of the control group;the average postoperative catheter placement time was 4(3,4)days,which was significantly shorter than 4(3.25,5)days of the control group;the differences were statistically significant(P<0.05).The incidence of postop-erative complications in the observation group and the control group were 21.67%and 25.00%,respectively,and the dif-ference was not statistically significant(P>0.05).The ADL score of the observation group at 3 days after surgery was 95(81.25,95)points,which was significantly higher than 85(80,90)of the control group(P<0.05).The nursing satisfac-tion rate of patients in the observation group was 90.00%,which was significantly higher than 73.33%in the control group(P<0.05).Conclusion CNP based on nurse-patient cooperative nursing model for lung cancer surgery can give clinical nurses clear nursing work guidance,shorten the length of hospital stay of the patients,improve the overall nurs-ing quality and satisfaction of both nurses and patients,and achieve a win-win situation between the nurses and patients.
作者 廖敏 秦小芬 李懿丽 文爱媛 吴彪 陈锋夏 LIAO Min;QIN Xiao-fen;LI Yi-li;WEN Ai-yuan;WU Biao;CHEN Feng-xia(Department of Thoracic Surgery,Hainan General Hospital,Haikou 570311,Hainan,CHINA;Hospital-acquired Infection Control Department,Hainan General Hospital,Haikou 570311,Hainan,CHINA)
出处 《海南医学》 CAS 2023年第13期1947-1951,共5页 Hainan Medical Journal
基金 海南省卫生健康行业科研项目(编号:20A200169)。
关键词 临床护理路径 肺癌 护患合作模式 围手术期护理 护理满意度 Clinical nursing pathway Lung cancer,Nurse-patient cooperative nursing model Perioperative nurs-ing Nursing satisfaction
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