临床护理路径在腰椎间盘突出症射频热凝消融术中的应用

Application of clinical nursing pathway in the treatment of lumbar disk herniation radiofrequency ablation

目的：探讨临床护理路径在腰椎间盘突出症射频热凝术护理中的临床效果。方法将2012年10月至2013年3月在本科接受腰椎间盘突出症射频热凝消融术的患者50例作为对照组，实施常规护理及健康教育；将2013年4月至9月50例患者作为观察组，依据临床护理路径方法及内容实施护理及健康教育。对实施临床护理路径前后2组患者平均手术耗时、术中术后并发症、住院天数、住院费用、护理工作满意率进行比较。结果2组患者平均手术耗时、住院天数、住院费用、手术并发症、健康教育知晓率、对护理工作满意率，观察组均显著优于对照组，差异有统计学意义（ P〈0.05）。结论临床护理路径在腰椎间盘突出症射频热凝消融术护理中的应用，不仅可以减少围手术期并发症、缩短手术用时及住院日、降低住院费用，还可以提高患者健康教育知晓率及对护理工作满意率。

Objective To explore the clinical effects of clinical nursing pathway （ CNP） in the radiofrequency ablation treatment for the lumbar intervertebral disc protrusion. Methods The 50 patients who underwent radiofrequency ablation treatment for the lumbar intervertebral disc protrusion from Oct. 2012 to Mar. 2013 were chosen as the control group, and received conventional nursing and health education. Another 50 patients who underwent the same treatment from Apr. 2013 to Sep. 2013 were chosen as the observation group, and received nursing and health education according to the methods and contents of CNP. The average operation time, intraoperative and postoperative complications, hospi-talization duration, hospitalization expenses, and the patients＇ satisfaction rate about nursing of the two groups before and after the implementation of CNP were compared. Results The average operation time, hospitaliztion duration, hospital-ization expenses, operative complications, awareness rate of health education, and the satisfaction rate on nursing care of the observation group were significantly superior to that of the control group, and the difference was statistically signif-icant （ P〈0. 05 ） . Conclusion The application of CNP during the radiofrequency ablation treatment for the lumbar in-tervertebral disc protrusion can reduce the operative complications, shorten the operation time and hospital duration, lower the hospitalization expenses, and raise the health education awareness rate and satisfaction rate.