临床护理路径在经鼻蝶入路垂体瘤切除术患者术后监护期的应用

目的 探讨临床护理路径应用于经鼻蝶入路垂体瘤切除术患者术后监护期的效果。 方法 选取2013年1~12月收治的58例经蝶垂体瘤切除患者为对照组,按照传统方法护理;选取2014年1~12月收治的58例患者为路径组,按照临床护理路径方法护理。比较2组术后监护期护理效果及患者满意度。 结果 路径组入住监护室时间、术后住院日、住院费用、并发症发生率、护理不良事件发生率均低于对照组(t=8.185,P<0.01; t=9.054, P<0.01; t=16.856,P<0.01; χ²=4.971,P<0.05; χ²=7.017,P<0.01 );患者对监护室护理满意度高于对照组(χ²=6.202,P<0.05)。 结论 临床护理路径在垂体瘤术后监护期中的合理应用,可促进患者术后恢复,减少医患双方的沟通障碍,提高工作效率。

Application of clinical pathway nursing in postoperative monitoring of patients with edonasal transsphenoidal surgeries for pituitary adenomas

Objective To evaluate the effects of clinical pathway nursing in postoperative monitoring of patients with edonasal transsphenoidal surgeries for pituitary adenomas. MethodsFrom January 2013 to December 2013, 58 patients with edonasal transsphenoidal surgeries for pituitary adenomas were set as control group,who were given routine nursing. From January 2014 to December 2014, other 58 patients with edonasal transsphenoidal surgeries were set as path group who were given clinical pathway nursing. Effects for postoperative care and patients′ satisfaction of 2 groups were compared. Results The time in monitoring room, postoperative hospital stay, hospitalization expenses, the incidence of complications and nursing adverse events in the path group were lower than that in the control group (t=8.185,P<0.01, t=9.054, P<0.01, t=16.856,P<0.01,χ²=4.971,P<0.05; χ²=7.017,P<0.01). The satisfaction degree of patients in the path group was higher than that in the control group (χ²=6.202,P<0.05). ConclusionClinical pathway nursing applying in the patients with edonasal transsphenoidal surgeries for pituitary adenomas could promote postoperative recovery, reduce communication mistake between doctors and patients,and improve the work efficiency.