临床护理路径在甲状腺次全切除术中的应用

Nursing effect of clinical nursing pathway in subtotal thyroidectomy

目的探讨临床护理路径在甲状腺次全切除术中的护理效果。方法选择2014年3月~2016年4月行甲状腺次全切除术的116例患者作为研究对象,将所有患者随机分为对照组与研究组,两组分别有58例患者,对照组住院期间实施传统护理流程护理,研究组在对照组基础上实施临床护理路径护理,对比两组患者的护理效果。结果研究组患者术后首次下床活动时间、如厕时间、进食时间以及排气时间均要显著少于对照组(P<0.05);研究组患者的住院时间、住院费用以及健康知识掌握评分均要显著优于对照组(P<0.05);研究组护理满意度是98.28%,对照组护理满意度是81.03%,两组患者护理满意度对比具有统计学意义(P<0.05)。结论在甲状腺次全切除术患者中应用临床护理路径具有显著效果,能够明显加快患者康复,减少患者住院时间和住院费用,有利于患者更好地掌握健康知识,提高患者护理满意度,值得在临床护理工作中推广应用。

Objective To explore the nursing effect of clinical nursing pathway in patients with subtotal thyroidecto- my. Methods During the period from March 2014 to April 2016,116 cases with thyroid diseases were treated in our hospital for Subtotal thyroidectomy, they were randomly divided into two groups, namely, the research group（58 cases）and the control group（58 cases）, patients in the control group were given routine nursing, the research group was carried out clinical nursing pathway, and the nursing effect was compared between the two groups. Results Patients in study group the first bed activity time, time to go to the toilet, eating time and exhaust time were significantly less than that of the control group （ P 〈 0. 05 ） ; patients in the research group, the hospitalization time, cost of hospitalization and health knowledge mastery rating to was significantly better than the control group （ P 〈 0. 05 ） ; nursing satisfaction in the re- search group is 98. 28% ,and in the control group,nursing satisfaction is 81.03%, the nursing satisfaction of the two groups was compared, and the difference was statistically significant （P 〈 0.05 ）. Conclusions The nursing effect of clinical nursing pathway in patients with subtotal thyroidectomy is remarkable, it can significantly accelerate the rehabili- tation of patients, reduce hospitalization time and cost, is beneficial to patients with better control of health knowledge, improve the nursing satisfaction of patients, it is worth to popularize in the clinical nursing.