临床护理路径在肝癌介入治疗患者中的应用效果评价

目的 探讨肝癌介入治疗患者实施临床护理路径管理的临床护理效果。方法 方便采样随机抽取由上海市复旦大学附属中山医院肝肿瘤内科肝癌介入患者2016年1月~2016年6月实施临床护理路径管理前100例患者为对照组,采用同种方法抽取2016年7月~2016年12月实施临床护理路径管理后100例患者为观察组,比较两组患者在术后严重并发症发生率数、住院时间以及护理满意度等方面的差异。结果 观察组介入术后严重并发症有肝肿瘤破裂1例,肺动脉闭塞栓塞1例,消化道出血1例,共3例；对照组并发症消化道出血2例,肝功能衰竭1例,共3例,差异无统计学意义(P>0.05)。观察组患者平均住院天数5.50天,对照组患者平均住院天数6.61天,差异有统计学意义(P<0.05)。两组患者满意度比较,观察组满意度明显高于对照组,差异有统计学意义(P<0.05)。结论 临床护理路径管理缩短了患者的住院天数,减少了患者的住院费用,。同时提高了肝癌介入治疗患者的护理满意度,提高了护理质量,对优质护理模式的推进有一定的临床意义。

Evaluation the Effection of Clinical Nursing Pathway in hepatoma patients undergoing transcatheter arterial chemoembolization

Objective To explore the effect of the management of clinical nursing pathway in patients with liver cancer undergoing transcetheter arterial chemoembolization(TACE).Methods Randomly selected 100 patients who received TACE therapy in the ZhongShan hospital affiliated to Fudan university during January 2016 to June 2016(before the management of clinical nursing pathway put into use) as the control group. Randomly selected 100 patients from the same facility from July 2016 to December 2016(after the management of clinical nursing pathway put into use) as the observation group. The incidence of severe complications, hospital stay and nursing satisfaction were compared between observation and control group. Results In the observation group, there were 1 case of rupture of liver tumor, 1 case of pulmonary embolism and 1 case of gastrointestinal bleeding. There were 3 cases of complication of gastrointestinal bleeding and 1 case of liver failure in the control group, but the severe complication difference between observation group and control group was not statistically significant (P>0.05). The average time of hospital stay was 5.50 days in the observation group and 6.61 days in the control group, the difference was statistically significant (P<0.05). Furthermore, the satisfaction of observation group was significantly higher than the control group(P<0.05). Conclusion the management of clinical nursing pathway shortens the length of hospital stay and reduces the hospitalization cost of patients. While improving the satisfaction of nursing care of liver cancer patients undergoing TACE. Also it has clinical significance for promoting high-quality care model.