临床护理路径在良性前列腺增生合并腹股沟疝围手术期中的应用及效果评价

Application and effects of clinical nursing pathway in simultaneous surgical treatment for patients with benign prostatic hyperplasia and inguinal hernia

目的 建立实施良性前列腺增生合并腹股沟疝围手术期的临床护理路径（CNP）,并对CNP的应用效果进行评价.方法 采用非同期队列对照设计,将2011年1 ~12月我院外科收治的良性前列腺增生合并腹股沟疝手术患者45例设为对照组,实施泌尿外科常规护理,将2012年1 ~11月收治的同类患者45例设为干预组,采用CNP表进行护理.结果 所有患者随访3个月,术后排尿通畅,无疝复发及手术切口感染,国际前列腺症状评分（IPSS）为3～7分;最大尿流速（Qmax）均＞15 mL/s,两组患者的手术疗效相当（P ＞ 0.05） ;干预组患者的住院时间、医疗费用较对照组显著降低（P ＜ 0.05）;同时干预组患者的护理满意度显著提高（P ＜ 0.05）.结论 CNP可显著降低良性前列腺增生合并腹股沟疝围手术期患者的住院时间、住院费用,提高患者的护理满意度,保证护理质量,促进患者早日康复.

Objective To build and carry out the clinical nursing pathway （CNP） in simultaneous surgical treatment for patients with benign prostatic hyperplasia and inguinal hernia, and evaluate the effects of CNP to length of hospital stay, expense of hospitalization and satisfaction of patients. Methods The patients were divided into the control group and intervention group by means of cohort study of nonsimultaneous period. The control group that include 45 patients with benign prostatic hyperplasia and inguinal hernia from Jan., 2011 to Dec., 2011 were taken routine nursing. The intervention group that also include 45 patients with benign prostatic hyperplasia and inguinal hemia from Jan., 2012 to Nov., 2012 were taken clinical nursing pathway. Results All patients were followed up for 3 months, postoperative micturition unobstructed, no infection and incision hernia recurrence. The international prostate symptom scores IPSS was 3-7 points, and the~ maximum urine flow rate Qmax were 〉15 mL/s. There was no statistical difference between the two groups at the operative efficacy （P 〈 0.05）. However, Length of hospital stay and expense of hospitalization in experimental group and control group were significant （P 〈 0.05）, and at the same time, the nursing satisfaction score in experimental group were higher than in the control group （P 〈 0.05）. Conclusion CNP intervention can significantly reduce the length of hospital stay and expense of hospitalization in patients with benign prostatic hyperplasia and in- guinal hernia, and to improve the nursing satisfaction. CNP intervention can ensure the quality of nursing, and to pro- mote patients recover at an early date. Therefore, it is worth promoting.