中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
1期
18-21
,共4页
董业美%廉德花%马蕊诺%陈红梅%甘瑾
董業美%廉德花%馬蕊諾%陳紅梅%甘瑾
동업미%렴덕화%마예낙%진홍매%감근
临床路径%喉切除术%手术期间%护理干预
臨床路徑%喉切除術%手術期間%護理榦預
림상로경%후절제술%수술기간%호리간예
Clinical pathway%Laryngectomy%Intraoperative period%Nursing intervention
目的 探讨对全喉切除术患者实施手术临床护理路径的效果.方法 选取实施全喉切除术患者67例,按随机数字表法分为干预组34例和对照组33例.对照组采用传统术前访视、术中配合的护理方法；干预组实施手术临床护理路径,即术前访视路径、手术日支持路径及术后回访路径为一体的围手术期护理干预模式.采用焦虑自评量表(SAS)比较两组患者焦虑状况,比较两组手术开始时间、术中出血量、麻醉复苏时间、麻醉复苏期并发症和患者满意度.结果 干预组患者手术前1d、麻醉前SAS评分分别为(46.37 ±4.78)分和(49.85±5.60)分,均低于对照组(50.75 ±5.82)分和(53.96±6.95)分,两组比较差异有统计学意义(t分别为3.371,2.669;P ＜0.01)；术中出血量[(299.63±46.71) ml比(340.65 ±59.68)ml]、麻醉复苏时间[ (26.10 ±5.08)min比(34.50 ±6.75)min]、住院时间[(15.02 ±2.74)d比(19.76±3.62)d]和患者满意度[(4.53±0.46)分比(3.07 ±0.55)分]等均低于对照组,两组比较差异有统计学意义(t分别为3.138,3.021,6.055,11.800;P ＜0.01).结论 全喉切除术患者实施手术临床护理路径,能有效缓解患者的术前焦虑,使手术开始时间提前,麻醉复苏时间缩短,减少术中出血和麻醉复苏期并发症,提高围手术期治疗效果,使患者满意.
目的 探討對全喉切除術患者實施手術臨床護理路徑的效果.方法 選取實施全喉切除術患者67例,按隨機數字錶法分為榦預組34例和對照組33例.對照組採用傳統術前訪視、術中配閤的護理方法；榦預組實施手術臨床護理路徑,即術前訪視路徑、手術日支持路徑及術後迴訪路徑為一體的圍手術期護理榦預模式.採用焦慮自評量錶(SAS)比較兩組患者焦慮狀況,比較兩組手術開始時間、術中齣血量、痳醉複囌時間、痳醉複囌期併髮癥和患者滿意度.結果 榦預組患者手術前1d、痳醉前SAS評分分彆為(46.37 ±4.78)分和(49.85±5.60)分,均低于對照組(50.75 ±5.82)分和(53.96±6.95)分,兩組比較差異有統計學意義(t分彆為3.371,2.669;P ＜0.01)；術中齣血量[(299.63±46.71) ml比(340.65 ±59.68)ml]、痳醉複囌時間[ (26.10 ±5.08)min比(34.50 ±6.75)min]、住院時間[(15.02 ±2.74)d比(19.76±3.62)d]和患者滿意度[(4.53±0.46)分比(3.07 ±0.55)分]等均低于對照組,兩組比較差異有統計學意義(t分彆為3.138,3.021,6.055,11.800;P ＜0.01).結論 全喉切除術患者實施手術臨床護理路徑,能有效緩解患者的術前焦慮,使手術開始時間提前,痳醉複囌時間縮短,減少術中齣血和痳醉複囌期併髮癥,提高圍手術期治療效果,使患者滿意.
목적 탐토대전후절제술환자실시수술림상호리로경적효과.방법 선취실시전후절제술환자67례,안수궤수자표법분위간예조34례화대조조33례.대조조채용전통술전방시、술중배합적호리방법；간예조실시수술림상호리로경,즉술전방시로경、수술일지지로경급술후회방로경위일체적위수술기호리간예모식.채용초필자평량표(SAS)비교량조환자초필상황,비교량조수술개시시간、술중출혈량、마취복소시간、마취복소기병발증화환자만의도.결과 간예조환자수술전1d、마취전SAS평분분별위(46.37 ±4.78)분화(49.85±5.60)분,균저우대조조(50.75 ±5.82)분화(53.96±6.95)분,량조비교차이유통계학의의(t분별위3.371,2.669;P ＜0.01)；술중출혈량[(299.63±46.71) ml비(340.65 ±59.68)ml]、마취복소시간[ (26.10 ±5.08)min비(34.50 ±6.75)min]、주원시간[(15.02 ±2.74)d비(19.76±3.62)d]화환자만의도[(4.53±0.46)분비(3.07 ±0.55)분]등균저우대조조,량조비교차이유통계학의의(t분별위3.138,3.021,6.055,11.800;P ＜0.01).결론 전후절제술환자실시수술림상호리로경,능유효완해환자적술전초필,사수술개시시간제전,마취복소시간축단,감소술중출혈화마취복소기병발증,제고위수술기치료효과,사환자만의.
Objective To explore the effects of clinical nursing pathway on patients with total laryngectomy.Methods Totals of 67 cases with total laryngectomy were divided into intensive group(34cases)and control group(33 cases) according to the random number table.Control group received nursing of routine interview before operation and cooperation during operation,while intervention group received clinical nursing pathway,including preoperative interview pathway,operation day support pathway,and postoperative interview Pathway.Many items of two groups were observed such as anxiety situation which measured by Self rating Anxiety Scale(SAS),operation starting time,bleeding during operation,anesthesia recovery time,complication during anesthesia recovery and patients' satisfaction degree.Results The SAS score of intervention group in one day before operation and before anesthesia was (46.37 ±4.78),(49.85 ±5.60),respectively,lower than that of control group ( 50.75 ± 5.82),( 53.96 ± 6.95 ),and the difference was statistically significant ( t =3.371,2.669,respectively; P ＜ 0.01 ).In intervention group,amount of bleeding during operation was (299.63 ±46.71 ) ml,anesthesia recovery time was (26.10 ± 5.08 ) min,hospital stays was ( 15.02 ± 2.74 ) d and patients'satisfaction score was(4.53 ±0.46),lower than that of control group,which in order was( 340.65 ± 59.68 ) ml,(34.50 ± 6.75)min,(19.76 ± 3.62)d,and differences between two groups were statistically significant (t =3.138,3.021,6.055,11.800,respectively;P ＜0.01).Conclusions Implementing surgery clinical nursing pathway for total laryngectomy patients can relive their anxiety,reduce operation staring time and anesthesia recovery time and reduce bleeding amount during operation and the incidence of complication during anesthesia recovery,which had improved therapeutic effect and patients' satisfaction.
