临床护理路径在舌癌根治手术患者中应用的效果评价

Establishment and evaluation of clinical nursing pathway after glossectomy and forearm flap recon-struction in patients undertaking tongue cancer surgery

目的探讨临床护理路径对于前臂皮瓣同期修复舌癌切除术的应用意义。方法选择我院前臂皮瓣同期修复舌癌切除手术患者60例，随机分为实验组和对照组各30例。实验组参照所制订的临床护理路径表进行护理，对照组采用常规护理，应用自制的满意度调查表比较2组患者及医生对护理工作的满意度，根据护理部《护理质量考核标准》比较2种护理方法所达到的不同护理质量。结果实验组的平均住院日、平均住院费用均较对照组降低，实验组的患者满意度及医生满意度较对照组显著提高，实验组的护理质量高于对照组。结论临床护理路径在前臂皮瓣修复手术治疗舌癌患者中的应用与实施有助于提高住院患者的满意度及医生的满意度，同时也提高了护理质量，深化优质护理服务的内涵。

Objective To research the significance of application of clinical nursing pathway in pa- tients undertaking glossectomy and forearm flap reconstruction. Methods Sixty patients with tongue cancer who undertook glossectomy and forearm flap reconstruction were enrolled. The patients were ran- domly divided into the experimental group and the control group （30 cases in each group）. The patients of the experimental group received nursing following clinical nursing pathway, and the patients in the control group received routine nursing service. The patients and doctors satisfaction evaluation were compared be- tween the two groups with a self-designed nursing quality evaluation form. The qualities of care achieved in 2 groups were compared. Results It took less in-ward time and expenditure in the experimental group compared with the control greup. The quality of care, the satisfactory degree of patients and doctors in the ex- ipermental group were significantly higher than those of the control group. Conclusions The establishment and application of the clinical nursing pathway in patients undertaking glossectomy and forearm flap reconstruc- ition contributes to improve the satisfaction of patients and doctors and the quality of nursing service.