基于目标导向的临床护理路径在急性胆囊炎患者中的应用效果

Application effect of clinical nursing pathway based on goal-orientation in patients with acute cholecystitis

目的探讨急性胆囊炎患者应用基于目标导向的临床护理路径的效果。方法选取2020年2月至2021年2月在南京医科大学附属淮安第一医院进行治疗的急性胆囊炎患者134例,采用随机数字表法将其分为对照组和试验组,每组各67例。对照组采用常规护理,试验组采用基于目标导向的临床护理路径,比较两组不良反应、并发症总发生率、负性情绪、护理满意度及生活质量。结果试验组不良反应和并发症总发生率少于对照组,差异有统计学意义(P<0.05);护理后1周,两组广泛性焦虑障碍量表(GAD-7)和抑郁症筛查量表(PHQ-9)评分较护理前均降低,且试验组GAD-7、PHQ-9评分低于对照组,差异有统计学意义(P<0.05);两组纽卡斯尔护理服务满意度量表(NSNS)评分、生活质量综合评定问卷-74(GQOL-74)评分较护理前升高,且试验组NSNS各项评分、GQOL-74评分高于对照组,差异均有统计学意义(P<0.05)。结论在急性胆囊炎患者中应用基于目标导向的临床护理路径,减少不良反应及并发症的发生,疏导患者不良心理情绪,改善生活质量。

Objective To explore the application effect of goal-oriented clinical nursing path in patients with acute cholecystitis.Methods A total of 134 patients with acute cholecystitis treated in the Affiliated Huaian NO.1 People’s Hospital of Nanjing Medical University from February 2020 to February 2021.They were randomly divided into control group and experimental group by random number table method,with 67 cases in each group.The control group was treated with routine nursing,and the experimental group was treated with clinical nursing pathway based on goal-orientation.Adverse reactions,total incidence of complications,negative emotions,nursing satisfaction and quality of life were compared between the two groups.Results The incidence of adverse reactions and complications in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).One week after nursing,scores of generalized anxiety disorder scale(GAD-7)and patient health questionnaire-9(PHQ-9)in both groups were lower than those before nursing,and scores of GAD-7 and PHQ-9 in experimental group were lower than those in control group,and the difference were statistically significant(P<0.05).The scores of Newcastle service nursing satisfaction scale(NSNS)and generic quality of life inventory-74(GQOL-74)in the two groups were higher than those before nursing,and the scores of NSNS and GQOL-74 in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion In acute cholecystitis patients,the application of clinical nursing path based on goal guidance can reduce the occurrence of adverse reactions and complications,relieve the adverse psychological mood of patients,and improve the quality of life.