前瞻性路径化管理模式在食管癌根治术中的应用

Application of perspective nursing pathway management in radical resection of esophageal cancer

目的探讨食管癌根治术患者围手术护理中应用前瞻性路径化管理模式的效果。方法选取前瞻性路径化管理实施前(2015年1月—4月)和实施后(2015年5月—8月)行食管癌根治术的患者各66例为研究对象,分别设为对照组和试验组。照组给予常规护理,试验组给予前瞻性路径化术中护理。观察2组术中并发症发生率、手术时间及术后住院时间,评价患者对护理安全和护理质量的满意度评分。结果试验组术中并发症总发生率为12.12%(8/66),低于对照组的27.27%(18/66),差异有统计学意义(P<0.05)。试验组手术时间和术后住院时间均低于对照组,差异有统计学意义(P<0.01)。试验组患者对手术护理安全和护理质量满意度评分均高于对照组,差异有统计学意义(P<0.01)。结论对食管癌根治术患者实施前瞻性路径化管理,能降低术中并发症发生风险,缩短手术耗时,提高护理满意度。

Objective To investigate the effect of perspective nursing pathway management in patients with radical resection of esophageal cancer. Methods A total of 132 patients with radical resection for esophageal cancer were selected before implementation of perspective nursing pathway management （between January 2015 and April 2015, n =66） and after implementation of perspective nursing pathway management （between May 2015 and August 2015, n=66） and assigned to the con-trol group and the study group. The control group received routine nursing care while the perspective nursing pathway management was applied in the study group. The intraoperative complication, opera-tion time and length of postoperative stay were observed, and the satisfaction degree of patients to nurs-ing safety and quality was evaluated. Results The intraoperative complication rate was 12. 12% （8/66） in the study group and was 27. 27% （18/66） in the control group, with a significant difference （P 〈0. 05） . The operation time and length of postoperative stay were shorter in the study group than those of controls, with significant difference （P 〈0.01）. Patients in the study group were more satis-fied with nursing safety and quality in operation room than those in the control group （ P 〈 0. 01 ）. Conclusion Perspective nursing pathway management is potentially effective to reduce the intraopera-tive complication, shorten operation time and improve nursing satisfaction of patients with radical re-section of esophageal cancer.