临床护理路径对围手术期白内障手术患者的临床疗效

Effect of clinical nursing pathway on patients with cataract surgery in perioperative period

目的探讨临床护理路径对围手术期白内障手术患者缓解抑郁焦虑情绪和手术效果的临床效果。方法选取我院2012-2015年收治的240例白内障患者,随机分成两组:常规护理组(120例)和临床路径护理组(120例)。手术前用焦虑自评量表(SAS)、抑郁自评量表(SAD)进行施测,术后第2天对所有被试进行重新施测,出院当天用健康问卷进行施测,记录两组患者的住院天数和费用情况,并对数据进行统计学分析。结果两组患者术前SAS和SDS评分,组间无明显差异(P>0.05)。临床路径组患者的平均住院天数,平均住院费用,术后的SAS得分和SDS得分均显著低于常规护理组,上述差异存统计学意义(P<0.05);常规护理组患者的白内障知识掌握程度和对护理服务的满意程度均低于临床路径组,差异存统计学意义(P<0.05)。结论临床护理路径应用于围手术期白内障患者,可减少患者的住院天数和住院费用,缓解抑郁焦虑情绪,提高患者对白内障知识的掌握程度和护理的服务满意度,值得在临床上推广和应用。

Objective To explore the effect of clinical nursing pathway on anxiety and depression mood as well as the surgery effect of patients with cataract surgery. Methods 240 cases of patients with cataract surgery were collected from 2012 to 2015 and randomly divided into the routine nursing group and the clinical nursing pathway group, 120 cases of patients for each. Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were evaluated in both groups before and 2 days after surgery. A health questionnaire was assessed on discharged the day. The number of days and costs of hospitalization of the two groups were recorded and statistically analyzed. Results There was no significant differences of SAS and SDS scores between the two groups before surgery （P〉 0.05 ） . The number of days and costs of hospitalization of the clinical nursing pathway group ,also the scores of SAS and SDS were both lower than that of the routine nursing group, all the differences above were significant （P 〈 0.05 ） . Conclusion Application of clinical nursing pathway in perioperative period of patients with cataract surgery can reduce the hospital days and costs, also relieve the patients＇ anxiety and depression mood as well as improve the patients＇ knowledge of cataract master degree and nursing service satisfaction. It＇ s worthy of c finical popularization and Application