临床护理路径在子宫肌瘤患者围手术期护理中的应用

Perioperative nursing care of clinical care pathway in patients with uterine fibroids

目的探讨临床护理路径在子宫肌瘤患者围手术期护理中的应用。方法 50例子宫肌瘤拟手术的患者随机分为对照组和观察组各25例。对照组患者入院后按照常规护理计划进行护理,实验组患者入院后即采用临床护理路径进行护理,观察两组患者术后首次下床时间、首次排气时间、切口拆线时间、住院天数、住院费用、患者及家属满意率。结果术后实验组首次下床时间及首次排气时间均明显少于对照组,经比较差异有统计学意义(P<0.05);实验组住院天数明显少于对照组,差异有统计学意义(P<0.05);两组满意率比较差异有统计学意义(P<0.05)。结论临床护理路径有利于子宫肌瘤围手术期患者术后恢复,减少了住院天数,降低住院费用,患者及其家属满意率高。

Objective To explore the role of clinical care pathway in patients with uterine fibroids in the perioperative nursing.Methods Fifty patients with uterine fibroids were randomly divided into the control group and the observation group,each having 25 patients.Patients in control group were hospitalized with routine nursing care plans,while the patients in observation group were admitted to hospital with the clinical care pathway.All patients were observed in terms of the first time out of bed,the first exhaust time,incision suture removal time,hospital stay,hospital costs and their families＇ satisfaction rate.Results In the observation group,the first time out of bed and the first exhaust time were much less than the control group,and the difference was statistically significant（P0.05）.The duration of hospital stay was less than control group,and the difference was significant as well（P0.05）.And the satisfaction rate between the two groups was statistically significant（P0.05）.Conclusion The clinical care pathway was beneficial to the recovery of perioperative patients with uterine fibroids,and it can reduce hospital stay,lower hospital costs,and increase satisfaction of patients and their families.