临床护理路径在肝胆管结石肝叶切除手术治疗中应用观察

Effect Observation of Clinical Nursing Pathway on Hepalobectomy in Patients with Hepatolithiasis

目的观察临床护理路径在肝胆管结石肝叶切除手术治疗中的应用效果。方法选取在我院进行治疗的肝胆管结石患者82例,按随机数表法分为观察组和对照组,各41例。两组患者均行肝叶切除术,对照组采用常规护理措施,观察组采用临床护理路径进行护理。比较两组并发症情况、住院时间及生活质量评分。结果与对照组比较,观察组并发症发生率明显降低,住院时间明显缩短,差异有统计学意义(P<0.05);观察组社会生活、焦虑等生活质量评分较对照组明显降低,差异有统计学意义(P<0.05)。结论临床护理路径可降低肝胆管结石肝叶切除术患者术后并发症发生率,改善患者生活质量,缩短住院时间。

Objective To observe the effect of clinical nursing pathway （CNP） on hepalobectomy in patients with hepatolithiasis. Methods： Totally, 82 patients with hepatolithiasis undei^oing hepatectomy were admitted and treated in our hospital as the objects of study. They were randomly divided into control group and test group with 41 patients in each group. Patients in control group were treated with routine nursing, while patients in test group were treated with clinical nursing pathway. The complications, hospitalization time, living-quality score were compared between two groups. Results： The complications, hospitalization time and living-quality score in test group were significandy lower than those in control group （P 〈 0.05）. Conclusions： For patients widi hepatolithiasis undergoing hepalobectomy, clinical nursing pathway can reduce the rate of postoperative complication and hospitalization time, to improve living-quality.