临床护理路径在泌尿系统疾病围手术期护理中的应用

Application of clinical nursing pathway on the perioperative nursing of urological diseases

目的探讨实施临床护理路径对泌尿外科手术患者临床效果的影响。方法以2012年12月-2014年12月在新疆医科大学第一附属医院干部病房外科住院的165例患者作为研究对象,根据是否实施临床护理路径分为对照组(未实施护理路径)和干预组(实施护理路径),观察两组患者住院时间、院内感染、并发症、患者满意度及护理意外事件。结果 (1)干预组患者院内感染及并发症发生率低于对照组,患者满意率高于对照组,差异有统计学意义(P<0.05),两组患者住院时间比较差异无统计学意义(P>0.05)。(2)干预组管道脱落及堵管发生率低于对照组,差异有统计学意义(P<0.05),坠床发生率比较差异无统计学意义(P>0.05)。结论实施临床护理路径可以降低泌尿外科手术患者院内感染、并发症及护理意外事件的发生率,提高患者的满意度,值得临床推广。

Objective To analyze the efficacy of clinical nursing pathway on the clinic outcome of surgical urologic patients. Methods From December 2012 to December 2014, 165 patients in cadres ward of surgery department of the first affiliated hospital of Xinjiang medical university were divided into control group （without implement clinical nursing pathway） and intervention group （implement clinical nursing path- way）, according to the implementation of clinical nursing pathway. Data comparisons on the length of hospital stay, hospital infection, incidence of complications, the satisfaction of patients and nursing accident were surveyed and statistical analyzed. Results （1） The incidence of hospital infection and complications of intervention group was lower than the control group significantly （P 〈0.05）, and the satisfaction of patients of intervention group was higher than the control group significantly （P 〈0.05）, while the length of hospital stay of two groups was not statistically significant （P 〉0.05）. （2） The rates of coming off and obstruction of the duct of intervention group was lower than the control group significantly （P 〈0.05）, while the rate of falling out of bed of two groups was not statistically significant （P 〉0.05）. Conclusion Implementation of clinical nursing pathway could decrease the incidence of hospital infection, complications and nursing accident, and improve the satisfaction of patients in urologic patients and are worthy of being generalized.