临床护理路径联合整体护理在腹腔镜胆囊切除术中的应用效果

Application of clinical nursing path combined with comprehensive nursing in laparoscopic cholecystectomy

目的探讨临床护理路径联合整体护理在腹腔镜胆囊切除术的应用效果。方法选择我院2012年5月到2015年5月行腹腔镜胆囊切除术的150例患者作为研究对象,根据护理方案将其分为对照组(行常规护理)和联合组(行临床护理路径联合整体护理),各75例。对比两组患者的护理效果。结果联合组住院时间为(5.14±1.13)d,短于对照组的(7.42±1.73)d(P<0.05);联合组并发症发生率为6.7%,健康知识掌握率为96.0%,护理总满意率为98.7%,分别优于对照组的24.0%、81.3%,85.3%,两组比较差异显著(P<0.05)。结论对行腹腔镜胆囊切除术治疗的患者实施临床护理路径联合整体护理,能有效提高患者自我保健意识,降低并发症发生率,缩短痊愈时间,值得在临床上推广与应用。

Objective To explore the application effect of clinical nursing path combined with comprehensive nursing in laparoscopic cholecystectomy. Methods A total of 150 patients undergoing laparoscopic cholecystectomy from May 2012 to May 2015 in our hospital were selected as subjects, and divided into control group（received traditional nursing） and combination group（accepted clinical nursing pathway combined with comprehensive nursing）, with 75 cases in each group. The nursing efficacy between the two groups was compared. Results The hospital stays was（5.14 ±1.15） d in the combination group, which was shorter than（7.42±1.73） d in the control group（P〈0.05）. The incidence rate of complication in combination group was 6.7%, awareness rate of health knowledge was 96.0%, and the satisfaction rate was 98.7%, which were better than 24.0%, 81.3%, and 85.3% in the control group respectively, the differences were statistically significant between the two groups（P〈0.05）. Conclusion The clinical care pathways combined with comprehensive nursing in patients with laparoscopic cholecystectomy can effectively improve the patient＇s self-care awareness, reduce the incidence of complications, shorten the recovery time, which is worth in the clinical promotion and application.