临床护理路径在胃癌根治术患者中的应用效果

Application effect of clinical nursing pathway in the radical gastrectomy patients

目的探讨临床护理路径(CNP)在胃癌根治术患者中的应用效果。方法选取2017年1月~2019年12月本院收治的胃癌患者200例,采用计算机随机序列分组法将患者分成对照组与CNP组,每组100例。对照组接受常规护理干预,CNP组接受CNP干预。比较两组患者康复指标、生活质量、并发症及护理需求满足情况。结果CNP组患者肛门排气时间、胃管拔出时间、下床活动时间、住院时间短于对照组,差异有统计学意义(P<0.05)。CNP组生活质量(QOL)评分高于对照组,差异有统计学意义(P<0.05)。CNP组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05)。CNP组生活护理、疼痛护理、情绪护理、康复护理、饮食护理、人文关怀、个性化需求满足率高于对照组(P<0.05);基础护理满足率与对照组比较差异无统计学意义(P>0.05)。结论临床护理路径能提高胃癌根治术后患者生活质量,减少并发症,促进患者康复,值得临床应用。

Objective To analyze the effect of clinical nursing pathway(CNP)in patients with radical gastrectomy.Methods A total of 200 patients with gastric cancer admitted to our hospital from January 2017 to December 2019 were selected.According to the computer random sequence grouping method the patients were divided into control group and CNP group,100 cases in each group.The control group received routine nursing intervention,the CNP group received CNP intervention.The rehabilitation indexes,quality of life,complications and nursing needs of the two groups were compared.Results The time of anal exhaust,gastric tube extraction,out-of-bed activity and hospitalization in CNP group were shorter than those in control group,the differences were statistically significant(P<0.05).The quality of life QOL score of CNP group was higher than that of control group,the difference was statistically significant(P<0.05).The total incidence of complications of CNP group was lower than that of control group,the difference was statistically significant(P<0.05).The satisfaction rate of life nursing,pain nursing,emotional nursing,rehabilitation nursing,diet nursing,humanistic care and personalized needs in CNP group was higher than that in the control group,the differences were statistically significant(P<0.05).The satisfaction rate of basic nursing care in CNP group was not statistically significant difference compared with the control group(P>0.05).Conclusion CNP can improve the quality of life of patients after radical gastrectomy,reduce complications,and promote patients′recovery.