临床护理路径干预在结节性甲状腺肿围术期中的应用效果

Application effect of clinical nursing pathway in the perioperative period of nodular goiter

目的探讨临床护理路径在结节性甲状腺肿围术期护理中的应用效果。方法选取本院收治的220例结节性甲状腺肿患者,随机分为实验组和对照组,对照组患者实施常规护理措施,实验组患者实施路径护理措施,比较2组患者术后疼痛程度、患者平均住院时间、患者对护理服务的满意度情况。结果实验组患者术后中重度疼痛的发生率为13.64%(15/110),明显低于对照组的24.55%(27/110);实验组患者平均住院时间为(7.44±2.13)d,明显低于对照组的(11.72±3.45)d;实验组患者对护理服务的满意度为(97.35±1.27)分,明显高于对照组的(83.69±1.95)分,差异有统计学意义(P<0.05)。结论结节性甲状腺肿围术期应用临床护理路径干预,可明显降低患者术后疼痛程度,促进患者康复,提高患者对护理服务的满意度。

Objective To explore the effect of clinical nursing pathway in perioperative nursing of patients with nodular goiter. Methods A total of 220 patients with nodular goiter were randomly divided into experimental group and control group. The patients in the control group were treated with routine nursing,and the patients in the experimental group were treated with clinical nursing pathway. Postoperative pain,average length of stay and nursing satisfaction of patients were compared. Results The incidence of severe pain in the experimental group was 13. 64%（ 15 /110）,which was significantly lower than 24. 55%（ 27 /110） in the control group,the difference was statistically significant（ P〈0. 05）. The average length of hospital stay was（ 7. 44 ± 2. 13） d,which was significantly lower than（ 3. 45 ± 0. 05） d in the control group. The satisfaction score was（ 97. 35± 1. 27）,which was significantly higher than（ 83. 69 ± 1. 95） in the control group,the difference was statistically significant（ P〈0. 05）. Conclusion The application of clinical nursing pathway in patients with nodular goiter can significantly reduce postoperative pain,promote the rehabilitation of patients,and improve patients＇ nursing satisfaction.