临床护理路径在肺结核肺叶切除术围手术期患者中的应用效果评价

Evaluation of clinical nursing pathway in pulmonary tuberculosis patients undergoing lobectomy

目的探讨临床护理路径在肺结核肺叶切除术围手术期患者中的应用效果。方法选取2015年6月—2017年6月收治的100例肺结核肺叶切除患者,采用随机数字表法,分为对照组(50例,仅接受常规护理)、观察组(50例,采取临床护理路径护理),观察比较两组患者的临床护理效果。结果观察组患者健康教育知晓率(93.75%)、戒烟率(95.83%)、功能锻炼依从性(91.67%)以及满意度(95.83%)等情况显著高于对照组(分别为83.33%、87.5%、79.17%、87.5%),差异均有统计学意义(P<0.05);时间指标(平均下床时间、平均住院时间、胸腔引流管滞留时间)低于对照组,差异有统计学意义(P<0.05);术后随访1年发现,对照组患者术后并发症发生率(14.58%)高于观察组(2.08%),差异有统计学意义(χ~2=4.909,P<0.05)。结论针对行肺叶切除术的肺结核患者,在临床护理中实施临床护理路径,患者的健康教育知晓率、戒烟率、功能锻炼依从率、满意度均显著提升,且并发症少,护理效果显著,值得推广。

Objective To evaluate the effect of clinical nursing pathway on pulmonary tuberculosis patients undergoing pulmonary lobectomy. Methods A total of 100 cases of pulmonary tuberculosis undergoing lobectomy were selected from The Third People’s Hospital of Shenzhen from June2015 to June2017 and divided into control group (50 cases with only routine nursing) and observation group (50 cases with clinical nursing pathway).The clinical nursing effects of the two groups were observed and compared. Results The awareness rate of health education (93.75%), smoking cessation rate (95.83%), compliance rate of functional exercise (91.67%), and satisfaction rate (95.83%) of the observation group were significantly higher than those of the control group (83.33%, 87.5%, 79.17%, and 87.5 %, respectively)( P <0.05).The time indices of the observation group (average time of leaving bed, hospitalization time, and retention time of thoracic drainage tube) were statistically lower than those of the control group ( P <0.05).After one-year follow-up, the incidence rate of postoperative complications in the control group was 14.58 %, significantly higher than that in the observation group (2.08%)(χ^2 =4.909, P <0.05). Conclusion In the case of pulmonary tuberculosis, clinical nursing pathway as a clinical nursing intervention remarkably improves patients’ awareness rate of health education, smoking cessation rate, compliance rate of functional exercise, and satisfaction rate, with less complications, and it is worth popularizing.