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医护一体化护理干预促进肝癌患者快速康复的效果
引用本文:徐春艳,康璇,杨丽红,张翠萍.医护一体化护理干预促进肝癌患者快速康复的效果[J].解放军护理杂志,2016(24):53-55.
作者姓名:徐春艳  康璇  杨丽红  张翠萍
作者单位:1. 新疆医科大学附属肿瘤医院 肝胆胰外科,新疆 乌鲁木齐,830011;2. 新疆医科大学附属肿瘤医院 姑息一科;3. 新疆医科大学 护理学院,新疆 乌鲁木齐,830000;4. 新疆医科大学附属肿瘤医院 护理部
摘    要:目的探讨医护一体化护理干预促进肝癌患者快速康复的临床效果。方法 2015年7-12月,采用便利抽样法选取新疆某三级甲等医院实施肝部分切除手术的83例肝癌患者。按患者入院先后将其分为观察组和对照组,观察组40例,围术期行在医护一体化模式下的快速康复外科护理干预;对照组43例,围术期给予常规方法护理。比较两组患者术后下床时间、首次排气时间、术后进普食时间、术后住院时间及住院费用等情况。结果观察组患者术后下床时间、首次排气时间、术后进普食时间、术后住院时间及住院费用等方面均短于或少于对照组,差异均有统计学意义(均P0.05)。结论医护一体化模式下护理干预能够促进医护人员的沟通合作,提升护理服务质量,从而促进患者术后快速康复,提高患者满意度。

关 键 词:医护一体化模式  快速康复外科  肝癌  围术期

Effect of Integrated Healthcare Nursing Intervention on the Promotion of Rapid Rehabilitation for Patients with Hepatocellular Carcinoma
Abstract:Objective To explore the clinical effect of nursing intervention to promote the rapid recovery of patients with hepatocellular carcinoma.Methods By convenience sampling,83 cases were selected and ran-domly divided into observation group and control group.Observation group (n=40 )received integrated healthcare nursing intervention during perioperative period,and control group (n=43 )received routine nursing during perioperative period.The postoperatine amloalation time,the first exhaust time,the time of the general food,postoperative hospitalization days and hospitalization expenses were compared between two groups.Results The postoperatine amloalation time,the first exhaust time,the time of the general food,postoperative hospital stay and hospital costs in observation group were shorten than the control group (all P<0.05).Conclusions Integrated healthcare nursing intervention can promote the communica-tion and cooperation between doctors and nurses,improve the quality of nursing service,so as to promote the rapid recovery of patients,and improve patients’satisfaction.
Keywords:integrated healthcare model  fast track surgery  hepatocellular carcinoma  perioperative period
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