临床护理路径在甲状腺手术患者中的应用

APPLICATION OF THE CLINICAL NURSING PATH IN PATIENTS WITH THYROID RESECTION OPERATION

目的探讨临床护理路径应用于甲状腺手术切除患者中的效果,规范该类患者手术前后的医疗护理程序。方法随机将200例甲状腺手术切除术患者分为观察组和对照组,每组100例。观察组应用临床路径管理,对照组按照常规工作模式管理,比较二组患者的平均住院天数、住院费用、术后并发症及不良反应发生率。结果二组患者的平均住院天数、平均医疗费用、护理质量及健康知识的掌握,具有统计学意义(P<0.05),患者满意度比较差异无统计学意义(P>0.05)。结论在甲状腺手术切除患者中实施临床路径管理,可缩短平均住院日,降低医疗成本,减少术后并发症及不良反应。

Objective To investigate the effect of the application of the clinical nursing path in patients with thyroid resection operation, and perfect the medical nursing program for the patients before and after opera- tion. Methods Two hundred patients with thyroid resection operation were divided randomly into the test group and the comparison group, and 100 in each group. The clinical path management was applied in the test group, and the comparison group was treated in the conventional way. The average hospitalization days, hospital costs, postoperative complications and the incidence of adverse reactions of the patients in the 2 groups were compared. Results The average hospitalization days, medical cost, nursing quality and level of health knowledge in the 2 groups hadstatistical significance （P〈O. 05）, patient satisfaction degree has no statistical significance （P〉0.05）. Conclusion The application of the clinical nursing path in pa- tients with thyroid resection operation may shorten the average hospitalization days, reduce the medic8l cost, decrease postoperative complications and adverse reactions.