临床护理路径在永久性结肠造口患者中的应用

Application of CNP in patients with permanent colostomy

目的:探讨临床护理路径在永久性结肠造口患者中的应用方法及效果。方法:将216例行永久性肠造口患者按收治时间分为对照组和观察组各108例,对照组给予常规护理,观察组实施临床护理路径,比较两组护理效果。结果:两组患者出院前自我护理情况及术后12个月造口周围皮肤炎症发生率比较差异有统计学意义(P<0.05);两组患者出院3、12个月生活质量评分高于出院1个月(P<0.05),观察组出院后生活质量评分高于对照组(P<0.05)。结论:临床路径护理可提高永久性结肠造口患者的自我护理能力,预防周围皮肤炎症,改善生活质量。

Objective：To explore the method of applying clinical nursing pathway （CNP） to patients with permanent colostomy and in- vestigate its effect. Methods ：216 patients undergoing permanent colostomy were divided into the control group and the observation group （ 108 cases in each group}. The patients in the control group were given routine nursing care and the patients in the observation group were provided nursing care according to CNP,and then the effect of nursing care were compared between the two groups. Results：There were sta- tistically significant differences in the comparison of self - care status of the patients before discharge and the incidence of skin inflamma- tion around the stoma after surgery for 12 months between the two groups（ P 〈0.05 ） ;the scores of quality of life of the patients were higher after discharge for 3 and 12 months than those after discharge for one month in the-two groups and the scores of quality of life of the pa- tients were higher in the observation group than the control group （ P 〈 0.05 ）. Conclusion ： Application of CNP can improve the self - care ability of patients with permanent colostomy and can prevent the incidence of skin inflammation around the stoma so as to improve the qual- ity of life of the patients.