临床护理路径在腰椎间盘突出症手术患者中的应用

Application of Clinical Nursing Pathway for the Operation Patients of Lumbar Intervertebral Disc Protrusion

目的:探讨临床护理路径对腰椎间盘突出症手术患者的应用价值。方法:将60例腰椎间盘突出症手术患者随机分为对照组30例和实验组30例。对照组采用常规护理模式;实验组按照临床路径实施管理,比较两组住院时间、住院费用及术后并发症的发生率。结果:实验组的平均住院天数(7.9±2.1)d,较对照组平均住院天数(14.3±3.4)d显著缩短;实验组平均住院费用为(3251.3±845.9)元,对照组平均住院费用为(4935.5±983.2)元;实验组术后并发症发生率6.7%,较对照组术后并发症发生率26.7%显著降低结论:腰椎间盘突出症手术患者临床护理路径的制定可缩短住院时间,降低住院费用及术后并发症发生率。

Objective.To evaluate the effect of clinical nursing pathway（CNP） for the operation patients of lumbar intervertebral disc protrusion （LIDP）. Methods： Retrospective analysis was carried out in 60 patients of LIDP, who were divided into the control group（ 30 cases） and the experimental group（ 30 cases）. The control group received routine nursing model, while the experimental group was given managed with clinical pathway. Comparison the 2 groups of average hospital stay, cost of hospitalization and the incidence of postoperative com- plications. Results： The average length of hospital stay of the experimental group was（7.9 ± 2.1）days, which was shorter than that of the control group, （14.3± 3.4）days. The average hospitalization cost of the experimen- tal group was （3251.3± 845.9）yuan, while the control group was （4935.5 ±983.2）yuan. The postoperative complications of the experimental group was 6.7 %, which was lower than that of the control group, 26.7 %. Conclusions： The establishment of CNP for the operation patients of LIDP can shorten the length of hospital stay, reducing hospitalization costs and the incidence of postoperative complications.