临床路径护理模式在子宫内膜癌围术期的应用效果分析

Application of clinical pathway nursing model in treatment of patients with endometrial cancer in perioperative period

目的探讨临床路径护理模式在子宫内膜癌围术期的应用效果。方法选取130例子宫内膜癌患者作为研究对象,随机分为对照组65例和观察组65例。所有患者均行子宫内膜癌根治手术治疗。对照组患者围术期给予常规模式的护理,观察组给予临床路径护理模式。术后随访3个月,比较2组患者手术优良率、疾病不确定感及生活质量。结果术后随访3个月,观察组患者手术总优良率显著高于对照组(P<0.05)。观察组患者疾病不确定感中不确定性、信息缺乏维度评分及总分显著降低(P<0.05),而复杂性及不可预测性维度评分与对照组比较无显著差异(P>0.05)。观察组患者干预后反映生活质量的躯体功能及心理功能评分显著升高(P<0.05),而社会因子及信仰因子评分组间比较无显著差异(P>0.05)。结论临床路径护理模式在子宫内膜癌围术期中应用效果良好,能够提高手术优良率,有效降低患者疾病不确定感水平,并显著改善生活质量。

Objective To investigate the application of clinical pathway nursing model in treatment of patients with endometrial cancer in perioperative period. Methods A total of 130 patients with endometrial cancer were collected and randomly divided into two groups. All patients were treated with radical resection. In perioperative period,the control group was given routine nursing model,while the observation group was given clinical pathway nursing model. After three months follow-up,the excellent and good rate of operation,illness uncertainty and quality of life were compared. Results After three months follow-up,the total excellent and good rate of operation in the observation group was significantly higher than that in the control group（ P〈 0. 05）. After the nursing intervention,when compared with the control group,scores of ambiguity,lack of information and the total score of the illness uncertainty in the observation group were significantly lower（ P〈 0. 05）,while scores of complexity and unpredictability in illness uncertainty were similar in the two groups（ P〉 0. 05）. As to quality of life,scores of somatic function and mental function in the observation group after the nursing intervention were significantly higher than those in the control group（ P〈 0. 05）,while scores of social factor and belief factor in the two groups were similar（ P〉 0. 05）.Conclusion Clinical pathway nursing model has a good application effect in treatment of patients with endometrial cancer in perioperative period,which can significantly increase excellent and good rate of operation,reduce illness uncertainty and improve quality of life.