摘要
目的:探讨临床护理路径(CNP)标准化管理在原发性膀胱输尿管反流(VUR)行Politano-Leadbetter术患儿中的应用。方法:选择郑州大学第一附属医院2016年1月—2018年12月收治的69例VUR患儿,均行改良Politano-Leadbetter术,按随机数字表法分CNP组(n=39)、对照组(n=30),对照组采用常规临床护理管理,CNP组给予CNP标准化管理。比较两组患儿一般手术情况及住院情况、反流级别改善情况及术后并发症发生率。结果:两组术中均未见肠道、重要血管损伤事件发生,且两组手术时间、术中出血量、术后血尿持续时间比较差异无统计学意义(P>0.05);但CNP组住院时间及住院费用、术后并发症发生率均低于对照组,反流改善率高于对照组,差异均有统计学意义(P<0.05)。结论:对行Politano-Leadbetter术的VUR患儿,CNP标准化管理较常规护理管理更利于患儿术后恢复,可取得更佳的疗效获益,并在一定程度上降低术后并发症风险。
Objective:To explore the application of clinical nursing pathway(CNP)standardized management in children with primary vesicoureteral reflux(VUR)undergoning Politano-Leadbetter operation for.Methods:From January 2016 to December 2018,we selected 69 children with VUR from the First Affiliated Hospital of Zhengzhou University.Children all underwent modified Politano-Leadbetter operation and were divided into CNP group(n=39)and control group(n=30)with the method of random number table.Control group carried out routine clinical nursing management,while CNP group implemented CNP standardized management.We compared the general operation situation,hospitalization,improvement of reflux level and incidence of postoperative complications among children between two groups.Results:There were no intestinal and important vascular injury events during operation in both groups,and there was no significant difference in the operation time,intraoperative blood loss and postoperative hematuria duration between the two groups(P>0.05).However,the length of hospitalization,hospitalization costs and incidence of postoperative complications in CNP group were lower than those in control group;the improvement rate of reflux of CNP group was higher than that of control group;the differences were statistically significant(P<0.05).Conclusions:For VUR children with Politano-Leadbetter operation,CNP standardized management is more conducive to postoperative recovery of children than routine nursing management,and it can obtain better therapeutic benefits and reduce the risk of postoperative complications to a certain extent.
作者
苟丽
豆秀娟
魏佳丽
杨媛
李壹
王军仙
Gou Li;Dou Xiujuan;Wei Jiali;Yang Yuan;Li Yi;Wang Junxian(Department of Pediatric Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华现代护理杂志》
2020年第24期3360-3364,共5页
Chinese Journal of Modern Nursing
