临床护理路径在心胸外科术后深静脉置管中应用的效果

Application of clinical nursing pathway in deep vein catheterization post cardiothoracic operation

目的探究临床护理路径在心胸外科术后深静脉置管护理中应用的效果。方法选择2013年1月—2014年12月山东省菏泽市立医院心胸外科收治并给予心胸外科术后深静脉置管治疗的950例患者为研究对象，根据入院先后顺序将950例患者分为观察组和对照组，每组475例。在相同的手术方法治疗的基础上，观察组采用临床护理路径进行护理，对照组采用常规的护理方式进行护理；对比分析两组患者术后恢复、并发症发生以及患者满意度情况。结果观察组临床疗效总有效率为90．95％，对照组为77．26％，差异有统计学意义（P〈0．05）；观察组并发症发生率为9．68％，对照组为28．oo％，差异有统计学意义（P〈0．05）；观察组患者满意度为92．42％，对照组为78．32％，差异有统计学意义（P〈0．05）。结论对心胸外科手术后深静脉置管的患者给予临床护理路径，可以显著提高手术治疗效果，患者恢复较快，并发症发生率低，能提高患者和患者家属们的满意度，值得临床推广使用。

objective To investigate the effects of clinical nursing pathway （CNP） on patients with deep vein catheterization after cardiothoracic operation. Methods A total of 950 patients with deep vein catheterization post cardiothoracic operation from January 2013 to December 2014 in Shandong Heze Municipal Hospital were evenly divided into experimental group and control group by admission time. Under the same basis of surgical therapy, the clinical nursing pathway and normal nursing were respectively adopted in experimental and Control group. Postoperative recovery, complications and satisfaction of patients were compared between two groups. Results The total effective rate was 90.95% in experimental group and 77.26% in control group （P 〈 0.05）. Incidences of complications were 9.68% in experimental group and 28.00% in control group （P 〈 0.05）. Satisfaction of patients was 92.42% in experimental group and 78.32% in control group（P 〈 0.05）. Conclusions Adoption of CNP for post cardiothoracic operation patients improves effectiveness of surgery. In addition, CNP can reduce recovery time and complications. CNP, which increases satisfaction of patients and their relatives, is worth popularization.