临床护理路径在腹股沟疝无张力修补术中的应用

目的探讨临床护理路径在腹股沟疝无张力修补术中的应用及其效果。 方法选取2013年6月至2015年6月，荆门市第二人民医院80例腹股沟疝无张力修补术患者作为研究对象，将其依据随机数字表法分为干预组与对照组，每组患者40例。对照组给予常规模式护理，干预组给予临床护理路径模式护理，观察2组的应用效果。 结果干预组患者肛门排气时间、下床活动时间、住院时间、护理满意度评分分别为（15.7±2.5）h、（9.2±1.6）h、（6.3±1.0）d、（91.7±3.5）分，对照组患者分别为（15.7±2.5）h、（9.2±1.6）h、（6.3±1.0）d、（91.7±3.5）分，干预组患者肛门排气时间、下床活动时间、住院时间均低于对照组，临床护理满意度评分高于对照组，2组比较差异均有统计学意义（P均<0.05）；干预组患者术后参加正常活动时间（9.5±1.3）d以及切口疼痛持续时间（1.4±0.3）d均明显的低于对照组（12.8±2.5）d、（3.4±0.6）d，差异均有统计学意义（P均<0.05）。干预组患者术后并发症发生率5.0%，明显的低于对照组的17.5%，差异有统计学意义（P<0.05）。 结论临床中腹股沟疝无张力修补术护理中实施临床护理路径效果显著，降低术后并发症，缩短患者住院时间，在提高患者临床护理满意度也有明显的优越性，应用价值高。

Analysis of clinical nursing path in inguinal hernia tension-free repair

ObjectiveTo investigate the effects of clinical nursing path in inguinal hernia tension-free repair. Methods80 cases of inguinal hernia underwent tension-free repair in Jingmen Second People’s Hospital from June 2013 to June 2015 were enrolled. These patients were randomly divided into intervention group and control group, and 40 cases in each group. The control group received routine care, the intervention group were given clinical nursing care path. The effect of the two groups were observed. ResultsThe anal exhaust time, ambulation time, hospital stay, and nursing care satisfaction scores in intervention group were (15.7±2.5) hours, (9.2±1.6) hours, (6.3±1.0) days, and (91.7±3.5) points, respectively. The anal exhaust time, ambulation time, and hospital stay were lower and the nursing care satisfaction scores were higher in the intervention group than the control group, the differences were statistically significant (P<0.05). The normal activity recovery time and postoperative incision pain duration in intervention group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). The complication rate of patients in the intervention group was 5.0%, significantly lower than that in the control group (17.5%), the difference was statistically significant (P<0.05). ConclusionThe effect of clinical nursing path in inguinal hernia tension-free repair was significant. It can reduce postoperative complications, shorten hospital stay, and improve the patients’ nursing care satisfaction.