中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
3期
296-298
,共3页
快速康复%护理路径%老年%无张力疝修补%围手术期
快速康複%護理路徑%老年%無張力疝脩補%圍手術期
쾌속강복%호리로경%노년%무장력산수보%위수술기
Fast rehabilitation%Nursing pathway%Elderly%Tension-free hernioplasty%Perioperation period
目的：探讨快速康复护理路径在老年无张力疝修补术患者围手术期中的应用效果。方法选取老年无张力疝修补术患者138例，采用随机数字表法分为观察组和对照组，每组69例，观察组依照快速康复护理路径进行护理，对照组予以常规护理，比较两组患者术中、术后并发症发生情况、住院天数及费用情况。结果观察组术后发生尿潴留2例，腹胀3例，肺部感染4例，发生例数均低于对照组的10，18，16例，两组比较差异有统计学意义（χ2值分别为5．841，12．637，8．420；P＜0．05）。观察组住院时间为（6．6±0．8）d，住院费用为（2313．6±139．7）元，均低于对照组的（9．3±1．0）d，（3637．8±226．1）元，差异有统计学意义（t值分别为4．67，5．01；P＜0．05）。结论老年无张力疝修补术患者护理中实施快速康复护理路径可加快患者康复进程。
目的：探討快速康複護理路徑在老年無張力疝脩補術患者圍手術期中的應用效果。方法選取老年無張力疝脩補術患者138例，採用隨機數字錶法分為觀察組和對照組，每組69例，觀察組依照快速康複護理路徑進行護理，對照組予以常規護理，比較兩組患者術中、術後併髮癥髮生情況、住院天數及費用情況。結果觀察組術後髮生尿潴留2例，腹脹3例，肺部感染4例，髮生例數均低于對照組的10，18，16例，兩組比較差異有統計學意義（χ2值分彆為5．841，12．637，8．420；P＜0．05）。觀察組住院時間為（6．6±0．8）d，住院費用為（2313．6±139．7）元，均低于對照組的（9．3±1．0）d，（3637．8±226．1）元，差異有統計學意義（t值分彆為4．67，5．01；P＜0．05）。結論老年無張力疝脩補術患者護理中實施快速康複護理路徑可加快患者康複進程。
목적：탐토쾌속강복호리로경재노년무장력산수보술환자위수술기중적응용효과。방법선취노년무장력산수보술환자138례，채용수궤수자표법분위관찰조화대조조，매조69례，관찰조의조쾌속강복호리로경진행호리，대조조여이상규호리，비교량조환자술중、술후병발증발생정황、주원천수급비용정황。결과관찰조술후발생뇨저류2례，복창3례，폐부감염4례，발생례수균저우대조조적10，18，16례，량조비교차이유통계학의의（χ2치분별위5．841，12．637，8．420；P＜0．05）。관찰조주원시간위（6．6±0．8）d，주원비용위（2313．6±139．7）원，균저우대조조적（9．3±1．0）d，（3637．8±226．1）원，차이유통계학의의（t치분별위4．67，5．01；P＜0．05）。결론노년무장력산수보술환자호리중실시쾌속강복호리로경가가쾌환자강복진정。
Objective To explore the application effect of the fast rehabilitation nursing pathway in the elderly patients with tension-free hernioplasty during the perioperation period .Methods One hundred and thirty-eight patients with tension-free hernioplasty were chosen and divided into the observation group and the control group according to the random number table , each with 69 cases.The observation group received the nursing on the basis of fast rehabilitation nursing pathway , and the control group received the routine nursing . The occurrence of complications during and after the operation , the days and costs of hospitalization were compared between the two groups .Results The cases of urinary retention , abdominal distension and pulmonary infection were respectively 2, 3 and 4 cases in the observation group , and were lower than 10, 18 and 16 cases in the control group, and the differences were statistically significant (χ2 =5.841, 12.637, 8.420, respectively; P <0.05).The days and costs of hospitalization in the observation group were respectively (6.6 ±0.8)d, (2 313.6 ±139.7) yuan, and were lower than (9.3 ±1.0) d, (3 637.8 ±226.1) yuan in the control group, and the differences were statistically significant (t =4.67, 5.01, respectively; P <0.05). Conclusions The fast rehabilitation nursing pathway which was carried out in the nursing of the elderly patients with tension-free hernioplasty can accelerate the progress of rehabilitation in patients .
