对使用ERCP进行检查和治疗的恶性梗阻性黄疸患者实施临床路径护理的效果分析

Clinical pathway nursing in patients with malignant obstructive jaundice examined and treated with ERCP was analyzed

目的:探讨并分析对使用经内镜逆行性胰胆管造影术(ERCP)进行检查和治疗的恶性梗阻性黄疸患者实施临床路径护理的效果。方法:将2015年1月至2019年6月北京大学深圳医院收治的300例恶性梗阻性黄疸患者随机分为临床路径护理组(CPN组,n=150)与常规护理组(UC组,n=150)。在两组患者入院后,均采用ERCP对其进行检查和治疗,在此期间分别采用临床路径护理模式与常规护理模式对CPN组患者与UC组患者进行护理,然后比较两组患者的各项指标。结果:与UC组患者相比,CPN组患者治护的优良率和对护理工作的总满意率均更高,其术后住院的时间更短,其术后并发症的发生率更低,差异有统计学意义,P<0.05。结论:对使用ERCP进行检查和治疗的恶性梗阻性黄疸患者实施临床路径护理能显著降低其术后并发症的发生率,缩短其术后住院的时间,提高其疗效及对护理工作的满意率。

Objective:To explore and analyze the effect of clinical pathway nursing for patients with malignant obstructive jaundice who were examined and treated by ERCP.Methods:A total of 300 patients with malignant obstructive jaundice admitted to Peking University Shenzhen Hospital from January 2015 to June 2019 were randomly divided into clinical pathway nursing group(CPN group,n=150)and routine nursing group(UC group,n=150).After admission,patients in both groups were examined and treated with ERCP.During this period,patients in CPN group and UC group were nursed with clinical pathway nursing mode and conventional nursing mode respectively,and then the indicators of patients in the two groups were compared.Results:Compared with UC group,CPN group had higher rates of excellent and good nursing care and overall satisfaction with nursing work,shorter postoperative hospital stay,and lower incidence of postoperative complications,with statistically significant differences(P<0.05).Conclusion:Clinical pathway nursing for patients with malignant obstructive jaundice treated by ERCP can significantly reduce the incidence of postoperative complications,shorten the length of postoperative hospitalization,and improve the efficacy and satisfaction rate of nursing.