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腹腔镜手术开展中手术护理路径的临床价值分析

Clinical Value Analysis of Operative Nursing Pathway in Laparoscopic Surgery
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摘要 目的探讨腹腔镜手术开展中手术护理路径的临床价值。方法在医院2017年9月至2018年9月期间诊治的腹腔镜手术患者中选取112例作研究对象,围术期均实行护理干预:将采取常规护理干预模式者设为对照组(n=56),将应用手术护理路径模式者设为研究组(n=56),就2组患者围术期并发症发生率、肛门排气时间、离床活动时间、住院费用差异进行统计学分析。结果①研究组患者并发症发生率3.57%低于对照组的14.29%(χ~2=3.953,P=0.047);②研究组患者肛门排气时间、离床活动时间均短于对照组(t=11.294、8.140,P=0.000),住院费用少于对照组(t=13.730,P=0.000)。结论腹腔镜手术开展中手术护理路径的临床价值显著,可有效预防并发症,并促使患者早期恢复胃肠道功能、下床锻炼,减轻经济负担,可借鉴。 Objective To explore the clinical value of operative nursing pathway in laparoscopic surgery.Methods 112 cases of laparoscopic surgery patients were selected from September 2017 to September 2018.Nursing intervention was carried out during the perioperative period.The patients who took the routine nursing intervention mode were set as the control group(n=56),and those who applied the operation nursing path mode were set as the research group(n=56).The incidence of perioperative complications,anal exhaust time and bed-leaving activities of the two groups were studied.The difference of time and hospitalization expenses was analyzed statistically.Result(1)The incidence of complications in the study group was 3.57%lower than that in the control group’14.29%(χ~2=3.953,P=0.047);(2)Anal exhaust time and bed-leaving time in the study group were shorter than those in the control group(t=11.294,8.140,P=0.000),The hospitalization cost is less than that of the control group(t=13.730,P=0.000).Conclusion The clinical value of nursing pathway in laparoscopic surgery is significant.It can effectively prevent complications,promote patients to recover gastrointestinal function early,get out of bed exercise,and reduce the economic burden.It can be used for reference.
作者 尚艳 SHANG Yan(Department of General Surgery,Tieling County Central Hospital,Tieling 112000,China)
出处 《中国医药指南》 2020年第15期213-214,共2页 Guide of China Medicine
关键词 腹腔镜手术 常规护理 手术护理路径 并发症 肛门排气时间 住院费用 Laparoscopic surgery Routine nursing Operative nursing path Complications Anal exhaust time Hospitalization expenses
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