临床路径在食管癌患者围手术期护理管理中的应用

Application of Clinical Pathway in Peri-operative Nursing Management for Patients with Esophageal Carcinoma

目的探讨临床路径在食管癌患者围手术期护理管理中的应用效果。方法将2010年1月-2012年4月入院的120例食管癌手术患者按入院先后顺序分为对照组和试验组,对照组接受食管癌围手术期常规护理管理,试验组按临床路径标准进行护理管理,比较两组患者住院时间、费用、并发症发生率、患者及家属满意度。结果试验组住院时间和住院费用均少于对照组(P<0.01),试验组患者及家属满意度均优于对照组(P<0.05),并发症发生率两组比较差异无统计学意义(P>0.05)。结论应用临床路径对食管癌患者进行围手术期护理管理,可有效缩短患者住院时间、节约医疗费用,提高患者及家属满意度,提高护理效率,保证护理质量。

Objective To explore the effect of clinical pathway in peri-operative nursing management of patients with esophageal carcinoma. Methods A total of 120 patients with esophageal cancer who underwent the operation between January 2010 and April 2012 were divided into control group and trial group. the patients in control group was given conventional esophageal carcinoma peri-operative management; while the ones in the trial group received clinical pathway standardized management. The hospitalization days, costs of hospitalization, complications, satisfaction of the patients and families were compared between the two groups. Results The length of hospitalization days and costs in the trial group were lower than those in the control group（P〈0.01）; the patients and families satisfaction in the trial group was superior to the control group（P〈0.05）; the difference in complications occurrence between the two groups was not significant（P〉0.05）. Conclusion The clinical pathway of peri-operative nursing management for patients with esophageal cancer could effectively decrease the costs, improve satisfaction of the patients and families, and ensure the quality of care and improve the nursing efficiency.