经尿道前列腺等离子电切术临床路径的应用及效果评价

Evaluation and Clinical Application of Transurethral Plasmakinetic Resection of Prostate

目的评价经尿道前列腺等离子电切术临床路径的应用及效果。方法选取2014年8月—2016年8月在九〇三医院行经尿道前列腺等离子电切术患者86例,随机分为对照组和观察组,各43例。对照组采用传统医疗管理模式,观察组则选用临床路径管理模式。比较两组手术时间、卧床时间、住院时间、住院费用,以及术后并发症发生情况和医护满意度。结果观察组手术时间、卧床时间、住院时间均短于对照组,住院费用少于对照组(P<0.05)。观察组术后并发症发生率(2.3%)低于对照组(16.3%)(P<0.05);观察组医护满意度(90.7%)高于对照组(74.4%)(P<0.05)。结论临床路径应用于经尿道前列腺等离子电切术中,不仅能缩短患者的住院时间、卧床时间及手术时间,还可降低并发症发生率及住院费用,对提升医患护理满意度及改善患者预后也具有重要作用和意义。

Objective To evaluate the clinical application of transurethral plasmakinetic resection of prostate( TURP). Methods August 2014 to August 2016,86 patients underwent simultaneous transurethral plasmakinetic resection of prostate in 903 Hospital. Patients were randomly divided into control group and observation group,each group of 43 cases. The control group was treated with the traditional medical management mode,the observation group used clinical path management mode. The operation time,lying in bed time,hospitalization time,hospitalization expenses,postoperative complications and satisfaction of doctors and nurses were compared between the two groups. Results The operation time,lying in bed time and hospitalization time of the observation group were shorter than that of the control group,and the hospitalization expense was less than that of the control group( P < 0. 05). The incidence of postoperative complications in the observation group( 2. 3%) was lower than that in the control group( 16. 3%)( P < 0. 05); the satisfaction degree of the doctors and nurses in the observation group( 90. 7%) was higher than that of the control group( 74. 4%)( P < 0. 05). Conclusion The application of clinical pathway in transurethral plasmakinetic resection of prostate for patients,not only shorten the operation time,hospitalization time and operation time should be in bed,also can realize the reduction of complication rate and hospitalization expenses,has an important role and significance for improving patient care satisfaction and patient prognosis.