臨床護理路徑干預對在胃癌手術患者的影響

　　[摘要] 目的 探討臨床護理路徑干預對在胃癌手術患者的影響。方法 方便選取60例胃癌手術患者作為研究對象，收取時間2015年12月—2017年6月，分為觀察組（臨床護理路徑干預）30例、對照組（常規(guī)圍手術期護理措施）30例，并對60例患者的術后康復指標、生活質(zhì)量及護理滿意度進行觀察且評價。結果 兩組患者對比術后康復指標差異有統(tǒng)計學意義（P<0.05），即觀察組腸鳴音出現(xiàn)時間（23.61±5.62）h、肛門排氣時間（34.25±6.52）h、下床活動時間（7.05±3.56）d，對照組—腸鳴音出現(xiàn)時間（35.62±7.25）h、肛門排氣時間（56.21±9.25）h、下床活動時間（9.25±4.62）d。兩組患者生活質(zhì)量對比差異有統(tǒng)計學意義（P<0.05），即觀察組食欲（3.92±1.25）分、精神（4.25±0.56）分、睡眠（3.86±1.42）分、認知（4.56±0.52）分、日常生活能力（4.45±0.54）分，對照組食欲（2.52±1.01）分、精神（3.14±0.21）分、睡眠（2.56±1.05）分、認知（3.25±0.41）分、日常生活能力（3.25±0.30）分。觀察組患者護理滿意度96.67%高于對照組患者的護理滿意度66.67%，差異有統(tǒng)計學意義（P<0.05）。結論 臨床護理路徑干預應用于胃癌手術患者具有顯著的臨床效果。
　　[關鍵詞] 臨床護理路徑；胃癌；手術
　　[中圖分類號] R47 [文獻標識碼] A [文章編號] 1674-0742（2018）01（c）-0153-03
　　[Abstract] Objective This paper tries to explore the effect of clinical nursing pathway intervention on patients with gastric cancer surgery. Methods 60 cases of gastric cancer patients as the research objects from December 2015 to June 2017 were convenient selected and divided into the observation group （clinical nursing path） with 30 patients and the control group（routine nursing measures） with 30 cases， and 60 cases of rehabilitation of patients with postoperative index， quality of life and nursing and satisfaction were observed and evaluated. Results There were significant differences between the two groups in postoperative rehabilitation indicators the difference was statistically significant（P<0.05）， that is， the observation group - bowel sounds appear time（23.61±5.62）h， anal vent tim（34.25±6.52）h， ambulation time （7.05±3.56）d， control group - bowel sounds appear time（35.62±7.25）h， anal exhaust time（56.21±9.25）h， ambulation time（9.25±4.62）d. There were significant differences in quality of life between the two groups the difference was statistically significant（P<0.05）， that is， the observation group appetite（3.92±1.25）points， mental（4.25±0.56）points， sleep（3.86±1.42）points， cognition（4.56±0.52）points， daily living ability （4.45±0.54）points， control group - appetite（2.52±1.01）points， mental（3.14±0.21）points， sleep（2.56±1.05）points， cognition（3.25±0.41）points， daily living ability of（3.25±0.30）points. The nursing satisfaction of the observation group was 96.67% higher than that of the control group of 66.67% the difference was statistically significant（P<0.05）. Conclusion Clinical nursing pathway intervention should be used in patients with gastric cancer surgery， with significant clinical effect.
　　[Key words] Clinical nursing pathway； Gastric cancer； Operation
　　胃癌是臨床上較為常見的惡性腫瘤之一，若不給予手術治療，可危及患者的生命安全；但是在手術治療的同時患者可出現(xiàn)較為強烈的負面情緒，從而對治療效果造成影響[1]；該院為了探討臨床護理路徑干預對在胃癌手術患者的影響，將2015年12月—2017年6月收治的60例患者作為研究對象，具體見正文描述。

相關熱詞搜索：胃癌 干預 路徑 臨床 護理