对接受腹腔镜手术的子宫肌瘤患者进行临床路径护理的效果探讨

To explore the effect of clinical pathway nursing in patients with hysteromyoma undergoing laparoscopic surgery

目的 :评价对接受腹腔镜手术的子宫肌瘤患者进行临床路径护理的效果。方法 :对在乐山职业技术学院附属医院接受腹腔镜手术的58例子宫肌瘤患者的临床资料进行回顾性分析。将其随机分为试验组(29例)和对照组(29例)。在对两组患者进行手术期间,对对照组患者实施常规护理,对试验组患者实施临床护理路径。然后比较两组患者术后并发症的发生率、对护理的满意率和SAS评分。结果 :试验组患者术后并发症的发生率(6.90%)低于对照组患者术后并发症的发生率(17.25%),P <0.05。试验组患者对护理的满意率(96.55%)高于对照组患者对护理的满意率(82.76%),P <0.05。接受护理后,两组患者的SAS评分均较护理前明显降低,P <0.05;试验组患者的SAS评分低于对照组患者,P <0.05。结论:对接受腹腔镜手术的子宫肌瘤患者进行临床路径护理的效果显著,能够有效地改善其心理状态,降低其术后并发症的发生率,提高其对护理的满意率。

Objective: to evaluate the effect of clinical pathway nursing for patients with hysteromyoma undergoing laparoscopic surgery. Methods: the clinical data of 58 patients with hysteromyoma undergoing laparoscopic surgery in the affiliated hospital of leshan vocational and technical college were retrospectively analyzed. They were randomly divided into experimental group(29 cases) and control group(29 cases). In the two groups of patients during the operation, the control group of patients with conventional nursing, the experimental group of patients with clinical nursing path. Then the incidence of postoperative complications, satisfaction rate of nursing and SAS score were compared between the two groups. Results: the incidence of postoperative complications in the experimental group(6.90%) was lower than that in the control group(17.25%), P < 0.05. The satisfaction rate of patients in the experimental group(96.55%) was higher than that in the control group(82.76%), P < 0.05.After receiving the nursing, SAS scores of the two groups were significantly lower than before the nursing, P < 0.05;The SAS score of the experimental group was lower than that of the control group, P < 0.05. Conclusion: the effect of clinical pathway nursing for patients with hysteromyoma undergoing laparoscopic surgery is significant,which can effectively improve their psychological state, reduce the incidence of postoperative complications, and improve their satisfaction rate of nursing.