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临床护理路径在糖尿病性白内障患者围手术期的应用效果 被引量:13

Application effect of clinical nursing pathway in perioperative period of diabetic patients with cataract
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摘要 目的对糖尿病性白内障患者围术期应用临床护理路径(CNP)的临床效果进行探析。方法选择2016年6月至2018年6月在我院接受手术治疗的86例老年性白内障患者作为观察对象,采用数字表法随机分成研究组和对照组,各43例。在围术期,对照组采取常规护理模式,观察组采取CNP模式。对比分析两组临床护理效果。结果术后1周,两组患者FPG、2 h PG水平均降低,且研究组低于对照组(P<0.05)。研究组患者的术后住院时间、医疗费用均显著低于对照组,护理满意度评分高于对照组(P<0.05)。术后3 d,研究组患者的视力恢复效果显著优于对照组(P<0.05)。研究组患者术后并发症总发生率低于对照组(P<0.05)。结论在糖尿病性白内障围术期开展CNP护理有助于患者术后良好康复,可提升患者护理满意度,有重要临床价值。 Objective To analyze the clinical effect of clinical nursing pathway (CNP) in perioperative period of diabetic patients with cataract. Methods A total of 86 patients with senile cataract who underwent surgery in our hospital from June 2016 to June 2018 were randomly divided into study group and control group, with 43 cases in each group. The control group accepted the routine nursing mode during the perioperative period, and the observation group was given the CNP mode. The clinical nursing effects of the two groups were analyzed and compared. Results At 1 week after surgery, the levels of FPG and 2 h PG in the two groups were lower than those before operation, and those in the study group were lower than the control group (P〈0.05). The postoperative hospital stay and medical expenses of the study group were significantly lower than those of the control group, and the nursing satisfaction score was higher than that of the control group (P〈0.05). At 3 days after surgery, the visual acuity recovery of the study group was significantly better than that of the control group (P〈0.05). The total incidence of postoperative complications in the study group was significantly lower than that in the control group (P〈0.05). Conclusion The CNP nursing during the perioperative period of diabetic cataract is helpful for patients with good postoperative recovery, and can improve nursing satisfaction of patients. It has important clinical value.
作者 高彩琴 李鸿儒 GAO Cai-qin;LI Hong-ru(Yulin No.2 Hospital,Yulin 719000,China)
机构地区 榆林市第二医院
出处 《临床医学研究与实践》 2018年第31期179-180,183,共3页 Clinical Research and Practice
关键词 临床护理路径(CNP) 糖尿病性白内障 围术期 clinical nursing pathway (CNP) diabetic cataract perioperative period
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