临床护理路径在阑尾炎腹腔镜手术患者围术期的应用效果

Application effect of clinical nursing pathway in perioperative period of laparoscopic appendicitis surgery

目的探讨临床护理路径在阑尾炎腹腔镜手术患者围术期的应用效果.方法选取2016年1月~2018年8月在我院接受阑尾炎腹腔镜手术治疗的120例患者作为研究对象,按照护理方法不同分为对照组和研究组,每组各60例.对照组患者在围术期采用传统护理方法进行干预,研究组采用临床护理路径对患者围术期进行护理教育.采用汉密尔顿抑郁量表(HAND)和汉密尔顿焦虑量表(HAMA)对患者护理前后的抑郁和焦虑心理状况进行评价,并比较分析两组患者术后的治疗效果以及心理状况.结果研究组患者护理后的术后治疗总有效率为98.33%,高于对照组的80.00%,差异有统计学意义(P<0.05);两组患者护理前的心理状况评分比较,差异无统计学意义(P>0.05);护理后,两组的HAMD评分和HAMA评分均明显下降,且研究组明显低于对照组,差异有统计学意义(P<0.05).结论腹腔镜手术治疗的阑尾炎患者围术期应用临床护理路径进行干预,可显著提高手术效果,改善患者的心理状况,具有较高的实践价值.

Objective To explore the application effect of clinical nursing pathway in perioperative period of laparoscopic appendicitis surgery. Methods A total of 120 cases of appendicitis treated by laparoscopic appendectomy in our hospital from January 2016 to August 2018 were selected as the research objects. According to the different nursing methods, they were divided into control group and research group, with 60 cases in each group. The patients in the control group were intervened by traditional nursing methods during the perioperative period, while the patients in the study group were educated by clinical nursing pathway during the perioperative period. Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were used to evaluate the depression and anxiety of patients before and after nursing. The therapeutic effect and psychological status of the two groups were compared and analyzed. Results The total effective rate of post-operative treatment in the study group was 98.33%, which was significantly higher than that in the control group (80.00%), the difference was statistically significant (P<0.05). There was no significant difference in the scores of psychological status between the two groups before nursing (P〉0.05). After nursing, the HAMD score and HAMA score of the two groups decreased significantly, and the research group were significantly lower than those in the control group, the differences were statistically significant (P<0.05). Conclusion Intervention of clinical nursing pathway in perioperative period of appendicitis patients treated by laparoscopic surgery can significantly improve the effect of operation and psychological status of patients, and has high practical value.