对进行内镜治疗的胆结石患者进行临床路径护理及术后延续性护理的效果观察

To observe the effect of clinical pathway nursing and postoperative continuous nursing for patients with gallstones treated by endoscope

目的:探讨对进行内镜治疗的胆结石患者进行临床路径护理及术后延续性护理的效果。方法:选取2016年1月至2017年1月期间成都市第十一人民医院收治的94例胆结石患者作为研究对象。将这些患者平均分为观察组和对照组。这些患者入院后,均对其进行内镜治疗及常规护理。在此基础上,对观察组患者进行临床路径护理及术后延续性护理。然后比较两组患者治护的效果。结果:观察组患者术毕至下床活动的时间、住院的时间均短于对照组患者(P <0.05),其治疗的费用少于对照组患者(P <0.05)。在术后3个月及6个月,两组患者诺丁汉健康量表(NHP)的评分均低于手术前(P <0.05);观察组患者NHP的评分均低于对照组患者(P <0.05)。在术后半年,观察组患者病情的复发率低于对照组患者(P <0.05)。结论:对接受内镜治疗的胆结石患者进行临床路径护理及术后延续性护理的效果较为理想。

Objective:To explore the effect of clinical pathway nursing and postoperative continuous nursing for patients with gallstones treated with endoscopy.Methods:a total of 94 patients with gallstones admitted to chengdu 11th people’s hospital from January 2016 to January 2017 were selected as subjects.These patients were equally divided into observation group and control group.These patients were treated with endoscopic therapy and routine care after admission.On this basis,the observation group of patients with clinical pathway nursing and postoperative continuity of nursing.Then compare the effect of treatment and nursing between the two groups.Results:patients in the observation group spent less time from the end of surgery to the time of getting out of bed and the time of hospitalization than those in the control group(P<0.05),and the cost of treatment was less than those in the control group(P<0.05).At 3 and 6 months after surgery,the scores of Nottingham health scale(NHP)in both groups were lower than those before surgery(P<0.05).The NHP score of the observation group was lower than that of the control group(P<0.05).Six months after surgery,the recurrence rate of patients in the observation group was lower than that in the control group(P<0.05).Conclusion:the effect of clinical route nursing and postoperative continuous nursing for patients with gallstones receiving endoscopic therapy is ideal.