临床护理路径在肠造口术患者中的应用

Application of the clinical nursing pathway in patients with enterostomy

目的探讨临床护理路径在肠造口术患者中的应用效果。方法选择肠造口术患者36例，将其随机分为观察组和对照组各18例，观察组患者采用肠造口术临床护理路径进行连续而完整的护理，对照组患者接受常规护理，比较两组患者在造口并发症、平均住院日数、平均住院费用以及患者满意度的差异。结果观察组与对照组患者的造口并发症分别为0和27．77％、平均住院日数分别为（16．12±5．46）d和（21．18±4．88）d、平均住院费用分别为（20325．68±5676．47）元和（22348．18±4479．90）元，两组比较差异有统计学意义（x2=4．5878，t分别为-2．88，-3．372，P〈0．05），观察组患者满意度94．44％明显高于对照组55．55％，差异有统计学意义（X2=7．2517，P〈0．05）。结论临床护理路径的实施可以减少肠造口术患者造口并发症的发生，减少患者的痛苦，缩短住院日数和住院费用，减轻患者的经济负担，提高患者对护理质量的满意度。

Objective To explore the effect of clinical nursing pathway on the patients with enterostomy. Methods Totals of 36 patients with enterostomy were randomly divided into experimental group and control group, and the experimental group received the nursing of the clinical nursing pathway while the control group received the routine nursing. The complications of enterpstomy, the patient satisfaction, the average hospitalization days and the expenses were observed and compared between two groups. Results There was significantly difference between experimental group and control group in the complication rate （0% vs 27.77% ）, the length of the mean hospitalization （16. 12 ± 5.46 d vs 21. 18 ± 4.88 d）, and the expenses （20 325.68 ±5 676） vs （22 348.18 ±4479.90）,（X2 =4.5878,t = -2.88, -3.372,respectively;P〈 0.05 ）. Patients＇ satisfaction of experimental group （94.44%） was significantly higher than that of control group （55.55%）, （ X2 = 7.251 7, P 〈 0.05 ）. Conclusions The application of clinical nursing pathway can reduce the complications of enterostomy and patients＇ sufferings, shorten the mean hospitalization, reduce the expenses, improve the nursing quality and patients＇ satisfaction.