医护一体化在肛肠手术患者中医护理路径中的应用研究

Study on Application of Medical Care Integration in Chinese Medicine Nursing Path for Anorectal Surgery Patients

目的:观察医护一体化在肛肠病手术患者中医护理路径实施过程的应用效果。方法:采用随机数字法,将收治的200例肛肠病手术患者分为2组各100例。对照组给予常规护理;观察组采用医护一体化指引下的中医护理路径进行护理。观察比较术后早期康复指标(首次排便、排尿、下床时间)、术后并发症(疼痛、便秘、尿潴留)发生率、平均住院天数、患者满意度,以及依从性。结果:观察组首次排便时间、排尿时间、下床时间,以及术后并发症发生率均低于对照组,差异均有统计学意义(P<0.05);观察组平均住院时长短于对照组(P<0.05);住院满意度观察组98.00%,对照组89.00%,差异均有统计学意义(P<0.05);中医护理技术依从性观察组99.00%,对照组86.00%,差异有统计学意义(P<0.05)。结论:使用医护一体化指引下的中医护理路径进行护理,可提高患者满意度及对中医护理技术的依从性,降低术后并发症发生率,促进康复,缩短住院天数。

Objective: To observe the application effect of medical care integration on the implementation process of Chinese medicine nursing path for patients after anorectal surgery. Methods:A total of 200 patients after anorectal surgery were divided into two groups according to random number method,with 100 cases in each group. The control group was given routine nursing,and the observation group was treated with Chinese medicine nursing under the guidance of medical care integration. The indexes of early postoperative recovery,including first defecation time,first urination time and first time to get out of bed, incidence of postoperative complications, including pain, constipation and urinary retention, average length of hospital stay, satisfaction of patients, and compliance were observed and compared. Results: The first defecation time, first urination time, first time to get out of bed and postoperative complication rate in the observation group were lower than those in the control group,differences being significant(P<0.05). The average length of hospital stay in the observation group was shorter than that in the control group(P<0.05). The satisfaction of hospital stay was 98.0% in the observation group and 89.0% in the control group,differences being significant(P<0.05). The compliance of Chinese medicine nursing technique was 99.0% in the observation group and 86.0% in the control group,the difference being significant(P<0.05). Conclusion:Using Chinese medicine nursing path under the guidance of medical care integration can improve the satisfaction and compliance with Chinese medicine nursing technology of patients, reduce the incidence of postoperative complications, promote rehabilitation,and shorten the length of hospital stay.