摘要
目的:分析围手术期子宫肌瘤患者的临床护理路径(CNP)效果。方法:选取子宫肌瘤患者90例,均行腹腔镜下子宫切除术。随机分为两组,常规护理组和CNP组,每组45例,对两组术中出血量、手术时间、主动要求止痛例数、住院天数、住院费用、术后3天焦虑评分等指标进行比较。结果:CNP组患者的平均住院时间与平均住院费用均较常规护理组减少,差异有统计学意义(P<0.01);术后3d患者焦虑值评估,常规护理组的焦虑值明显高于CNP组(P<0.05);两组患者在手术的出血量和手术的时间差异无统计学意义(P>0.05);但CNP组患者主动要求止痛的例数明显少于常规护理组(P<0.01)。结论:临床路径应用于子宫肌瘤手术患者的诊疗护理可以明显减少患者的住院天数,降低住院费用,减少患者术后焦虑,促进患者术后身心康复,从而提高医疗护理质量。值得广泛应用。
Objective：To analysis the effect of clinical nursing path（CNP）in perioperative period of patients with uterine fibroids.Methods：90 patients with uterine fibroids were all treated by total hysterectomy with laparoscopy,were randomly divided into two groups,the routine nursing group and CNP group,each group of 45 cases,to compare the amount of bleeding in operation,operation time,number of active asking for pain relief,length of stay,hospital costs,three days postoperative anxiety score and other indicators.Results：The average hospitalization time and average hospitalization expenses in the CNP group were less than that of the routine nursing group,the difference was statistically significant（P0.01）,3 days after operation the anxiety score in routine nursing group was significantly higher than that of group CNP（P0.05）,there was no significant difference（P0.05）in the operation amount of bleeding and operation time in two groups,however,patients in group CNP active required analgesics are less than the routine nursing group（P0.01）.Conclusion：The application of clinical pathway in perioperative period of patients with uterine fibroids can significantly reduce patients＇length of stay,decrease the cost of hospitalization,reduced postoperative anxiety,promote physical and psychological rehabilitation of patients after operation,and to improve the quality of medical care.it is worth to be widely used in clinical nursing work.
出处
《中外医学研究》
2012年第12期54-55,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
临床护理路径
子宫肌瘤
围手术期
Clinical nursing pathway
Uterine fibroids
Perioperative period
