临床护理路径在小儿腹股沟斜疝手术中的应用

Application of clinical nursing path to the operation for indrect inguinal hernia in children patients

目的:探讨临床护理路径在小儿腹股沟斜疝手术中的应用效果。方法:将128例腹股沟斜疝患儿随机分为对照组和观察组各64例,对照组患者实施常规护理,观察组患儿按照临床护理路径进行针对性护理。比较两组患儿接受手术相关指标、应激相关指标及护理满意度情况。结果:观察组患儿手术时间、出血量、术后肛门排气时间、卧床时间均明显低于对照组(P<0.05);观察组从术后第2天起血糖水平(BG)和胰岛素水平(Ins)恢复至术前水平,对照组从术后第3天起恢复至术前水平,观察组的应激持续时间短于对照组(P<0.05)。结论:临床护理路径有助于减轻手术创伤、促进术后恢复和缓解应激状态。

Objective ： To investigate the effect of application of clinical nursing path in the operation for indrect inguinal hernia in chil- dren patients. Methods ： 128 children patients with indirect inguinal hernia were randomly divided into the control group and the observation group （ 64 cases in each group ）. The routine nursing care was given to the children patients in the control group ; the targeted nursing care in the light of clinical nursing path was provided for the children patients in the observation group. The operation related indexes, stress re- lated indexes and the degree of satisfaction with nursing care were compared between the two groups. Results ： The operation time i volume of bleeding ~ postoperative anal exhaust time and in - bed time were significantly shorter and lower in the observation group than those in the control group （ P 〈 0.05 ） ; the stress duration was shorter in the observation group than the control group （ P 〈 0.05 ）. Conclusion ： The clinical nursing path can help reduce operation wound, promote the postoperative recovery.