摘要
目的:探讨护理路径在胃大部切除术患者护理中的应用效果.方法:选取2011-06/2014-07宁波市第二医院收治的胃大部切除术患者270例为研究对象,根据护理方案的不同随机将270例患者分为对照组与实验组,各135例.对照组与实验组的临床护理方法分别为一般护理、护理路径.观察对比两组患者于各时间段的视觉模拟量表(visual analogue score,VAS)评分、护理效果、满意度及健康教育知识知晓情况.结果:(1)VAS评分:术毕6 h,实验组VAS评分与对照组无明显差异,无统计学意义(P>0.05);术毕12、24及72 h,实验组VA S评分均比对照组低,差异有统计学意义(P<0.05);准备出院前,两组VA S评分差异无统计学意义(P>0.05);(2)护理效果:实验组护理总有效率(127/135,94.07%)比对照组高(116/135,85.93%),差异有统计学意义(P<0.05);(3)满意度:实验组护理满意度(128/135,94.81%)比对照组高(111/135,82.22%),差异具有统计学意义(P<0.05);(4)健康教育知识知晓情况:实验组健康教育知识知晓率(116/135,85.93%)比对照组高(98/135,72.59%),差异有统计学意义(P<0.05).结论:对胃大部切除术患者实施临床护理路径,可有效改善术后疼痛,提升护理有效率及满意度,使患者掌握健康教育知识,对术后恢复十分有利.
AIM： To assess the clinical effect of implementation of nursing pathway in patients undergoing subtotal gastrectomy.METHODS： From June 2011 to July 2014, 270 patients undergoing subtotal gastrectomy were included in the study. They were divided into two groups： an experimental group（n = 135） and a control group（n = 135）. The control group received routine nursing care, and clinical nursing pathway was implemented in the experimental group. The visual analogue score（VAS） score, nursing effect, satisfaction to nursing care and the awareness of health knowledge were observed and compared. RESULTS： VAS score showed no significant difference at 6 h after operation between the two groups（P 〉 0.05）, but was significantly lower in the experimental group than in the control group at 12, 24 and 72 h（P 〈 0.05）. Near the discharg e, VAS score showed no significant difference between the two groups（P 〉 0.05）. The total effective rate of nursing care was significantly higher in the experimental group（127/135, 94.07%） than in the control group（116/135, 85.93%）（P 〈 0.05）. The rate of satisfaction to nursing care was significantly higher in the experimental group（127/135, 94.07%） than in the control group（116/135, 85.93%）（P 〈 0.05）. The rate of awareness of health knowledge was also significantly higher in the experimental group（116/135, 85.93%） than in the control group（98/135, 72.59%）（P 〈 0.05）. CONCLUSION： The implementation of clinical nursing pathway in patients undergoing subtotal gastrectomy can effectively relieve postoperative pain, improve nursing efficiency and satisfaction, and make the patients acquire more health knowledge.
出处
《世界华人消化杂志》
CAS
2015年第4期633-637,共5页
World Chinese Journal of Digestology
关键词
胃大部切除术
护理路径
护理
效果
Subtotal gastrectomy
Nursing pathway
Nursing care
Effect
