临床护理路径在胃癌手术患者的应用效果

Clinical research on clinical nursing pathway in patients with gastric cancer operation

目的探讨临床护理路径(CNP)对胃癌手术患者的应用效果。方法选择79例胃癌手术患者为研究对象,采用随机分层法分为对照组39例和观察组40例,对照组予以常规护理,观察组按CNP模式进行护理,比较2组护理干预后术后康复指标、健康知识掌握、生活质量、护理满意度、术后并发症等。结果观察组肠鸣音出现时间、肛门排气时间、下床活动时间均显著短于对照组,护理满意度、健康知识掌握率、生活质量各维度评分均显著高于对照组,术后并发症率显著低于对照组,差异均有统计学意义(P<0.05)。结论临床护理路径可有效提高胃癌手术患者健康知识水平,促进患者术后康复,提高术后生活质量。

Objective To investigate the application effect of clinical nursing pathway on patients with gastric cancer operation. Methods A total of 79 patients with gastric cancer in our hospital were divided into control group（ 39 cases） and observation group（ 40 cases）. The control group was given routine nursing while the observation group was given CNP model nursing. The recovery index,health knowledge,quality of life,nursing satisfaction and postoperative complications were compared between the two groups after nursing intervention. Results The bowel sounds time,anal exhaust time and ambulation time in the observation group were significantly shorter than that in the control group. Nursing satisfaction,health knowledge rate and quality of life were significantly higher than that in the control group. Postoperative complications were significantly lower than control group,the differences were statistically significant（ P〈0. 05）. Conclusion Clinical nursing pathway can effectively improve health knowledge level,promote postoperative rehabilitation and improve quality of life of patients.