临床康复护理路径在微创保胆取石术围手术期的应用

Application of clinical nursing path in the gallbladder preserving peri operation period

目的:探讨临床康复护理路径在微创保胆取石术围手术期的应用效果。方法:选择术前B超评估可在腹腔镜联合胆道镜下行保胆取石手术患者100例,按入院时间分为观察组和对照组,每组50例。对照组实施常规护理,观察组按临床康复护理路径实施护理。对两组手术总时间、术中出血量、患者对健康教育知识掌握情况以及患者满意度等方面进行比较。结果:观察组手术总时间、术中出血量均低于对照组(t=-4.653,P=0.000;t=-6.659,P=0.000),观察组对健康教育知识掌握情况及患者满意度高于对照组(z=-3.129,P=0.002;z=-3.525,P=0.000)。结论:临床康复护理路径应用于微创保胆取石术围手术期可缩短手术总时间,减少出血量,提高患者对健康教育知识的掌握程度以及患者的满意度。

Objective:To explore the clinical application effect nursing path in the gallbladder preserving peri operation period.Methods:100 patients who had preoperative B ultrasound assessment in laparoscope combined with choledochoscope in downlink conservative gallbladder operation were selected.They were divided into the observation group and the control group with 50 cases in each according to the admission time.The control group were given routine care.The observation group were given clinical rehabilitation nursing pathway care.We compared the operation time,intraoperative bleeding volume,patients for health education knowledge and satisfaction of patients of the two groups.Results:The total operation time,amount of bleeding in operation of the observation group were lower than those of the control group(t=-4.653,P=0.000;t=-6.659,P=0.000).The health education knowledge grasp situation and satisfaction of the patients of the observation group were higher than those of the control group(Z=-3.129,P=0.002;Z=-3.525,P=0.000).Conclusion:The application of clinical nursing path in minimally invasive gall preserving lithotomy peri operation period can shorten operation time,reduce the amount of bleeding,and improve patients to master knowledge of health education and patients' satisfaction degree.