临床护理路径对腹腔镜胆囊切除术后患者康复效果评价

Rehabilitation efficacy of clinical nursing pathway in patients with laparoscopic cholecystectomy

目的评价临床护理路径对肝胆外科经腹腔镜胆囊切除患者术后临床效果的影响。方法选取在本院肝胆外科行经腹腔镜胆囊切除术的48例患者,根据入院顺序随机分为治疗组、对照组。其中,治疗组24例患者围手术期采用临床护理路径配合肝胆外科常规护理,对照组24例仅采用肝胆外科常规护理。观察2组患者临床护理效果、日常生活能力(下床、排尿、排气、进食、排便)恢复的时间、患者及护理人员满意度的差异。结果 2组在患者临床护理效果、日常生活能力(下床、排尿、排气、进食、排便)恢复的时间方面差异有统计学意义,在患者及护理人员满意度方面,治疗组优于对照组(P<0.05)。结论对肝胆外科经腹腔镜胆囊切除患者围手术期实施临床护理路径,促进患者日常生活能力的恢复,有利于提高护理人员和患者的满意度。

Objective To evaluate the rehabilitation efficacy of clinical nursing pathway in patients with laparoscopic cholecystectomy. Methods A total of 48 patients who underwent laparoscopic cholecystectomy in hepatobiliary surgery in the hospital were randomly divided into a treatment group and a control group according to the admission order. In the treatment group, 24 patients in the perioperative period were treated with clinical nursing pathway combined with routine care of hepatobiliary surgery, while in the control group, 24 patients were treated with routine care of hepatobiliary surgery.The differences of clinical nursing effect, daily life ability(getting out of bed, urinating, venting, eating, and defecation) recovery time, and and patients’ and nursing staff’s satisfaction were observedand compared between the two groups. Results The clinical nursing effect, daily life ability(bed, micturition, exhaust, eating, and defaecation) recovery time in the treatment group were superior to those in the control group, and there were significant differences, and in addition, the patients’ and nursing staff’s satisfaction of the treatment group was also superior to that of the control group(P<0.05). Conclusion The clinical nursing pathway in patients with laparoscopic cholecystectomy can promote the recovery of patients’ daily living ability, and improve the nursing staff’s and patients’ satisfaction.