腹腔镜胆囊切除术患者临床护理路径的研究

目的 观察临床护理路径在腹腔镜胆囊切除术患者中的应用效果.方法 选择2009年5月至2010年6月连续收治的腹腔镜胆囊切除术患者236例,根据患者入院时间按随机数字表分为常规护理组(对照组)和临床护理路径组(CNP组)各118例,分别接受常规护理和依据临床护理路径的护理.记录、分析和比较2组患者健康知识掌握情况、护理满意度、手术时间、麻醉时间、住院时间和住院费用等的差异.结果 CNP组患者的健康知识掌握情况和护理满意度好于对照组;与对照组比较,CNP组麻醉时间、手术时间、住院时间和住院费用明显减少.结论 在腹腔镜胆囊切除术中实施临床护理路径可提高患者的健康知识水平和护理满意度,减少手术时间和住院时间,减轻医疗负担,效果良好.

Abstract：

Objective To study the effect of clinical nursing pathway(CNP) in patients undergoing laparoscopic cholecystectomy( LC ). Methods Two hundred and thirty six LC patients were enrolled from May 2009 to June 2010, and randomly divided into the traditional nursing group (the control group) and the clinical nursing pathway group (the CNP group) with 118 cases in each group.The health knowledge score, nursing service satisfaction, operation time, anesthesia time, hospital stay time and hospitalization cost were recorded and analyzed between the two groups. Results The scores of health knowledge and nursing service satisfaction in the CNP group were higher than the control group; compared with the control group, the CNP group had less operation time, anesthesia time, hospital stay time and hospitalization cost. Conclusions Clinical nursing pathway may improve health knowledge and nursing service satisfaction, decrease the operation time and hospital stay time, reduce the medical burden, has a better effect in the patients undergoing laparoscopic cholecystectomy.     

手术室整体护理对老年手术患者心理状态的影响

目的 探讨手术室整体护理干预对老年手术患者心理状况的影响.方法 选择2008年3月至2009年3月我院收治的老年手术患者94例,随机将患者分为干预组和对照组各47例.对照组采用传统的一般手术室护理模式对患者进行护理,而干预组则根据老年患者的实际情况进行全面系统的手术室整体护理.采用发放问卷调查表和SCL-90测定的方式进行调查分析.结果 与对照组相比,干预组的焦虑评分值和抑郁评分值均明显降低.与此同时,干预组的躯体化、强迫、抑郁和焦虑4个因子分值也较对照组明显降低.结论 采用手术室整体护理干预对老年手术患者心理状况的改善具有十分重要的临床意义,值得进一步推广.