临床护理路径在肛肠手术患者中的应用效果评估

目的评估临床护理路径在肛肠术后患者中的应用效果。方法选取我院肛肠外科接受手术治疗的140例患者,其中有70例患者接受临床护理路径模式的护理,为观察组;另外70例患者接受肛肠外科常规护理,为对照组。经过一段时间的护理后比较两组患者的护理效果。结果观察组患者疼痛评分、尿潴留发生率及尿管留置时间均低于对照组（P〈0.05）,术后恢复时间显著短于对照组（P〈0.01）,住院时间与平均住院费用低于对照组（P〈0.05）,对疾病了解程度及对护理的满意度均显著优于对照组（P〈0.01）。结论对肛肠科手术患者实行临床护理路径,有利于提高患者对疾病的认识,缩短住院时间,减少住院费用,提高护理质量和患者的满意度,具有积极的临床意义。

Evaluation on the application of clinical nursing in the treatment of patients with anorectal surgery

Objective To evaluate the effect of the application of clinical nursing on patients with anorectal surgery. Methods Our study selected 140 anorectal surgical patients from the Anorectal Surgical Department of the Hospital as our research subjects,of whom 70 patients who were rendered novel clinical nursing were designated as the observation group,while another 70 patients who received anorectal clinical routine care were designated as the control group. Clinical nursing effects of the 2 different nursing modes were compared between the 2 groups after a period of nursing. Results Pain scores,incidence of urinary retention and urinary indwelling catheter time were all lower than those of those of the control group（ P〈0. 05）. Recovery time after surgery was significantly shorter than that of the control group（ P〈0. 01）,and average duration of stay in the hospital and total medical costs were all considerably lower than those of the control group（ P〈0. 05）. For the patients in the observation group,knowledge about the disease and satisfaction of nursing care were all superior to those of the control group（ P〈0. 01）. Conclusion The application of novel clinical nursing was beneficial to anorectal surgical patients in the following respects： improving understanding of the diseases,shortening hospital stay,reducing medical costs,improving the quality of nursing and patient satisfaction,and as a whole had positive clinical value in patient clinical nursing.