CAJ | 학술논문

目的：探讨临床路径联合延续性护理对急诊腹腔镜胆囊切除术患者预后及生活质量的影响。方法选择250例腹腔镜胆囊切除术患者，分为研究组127例和对照组123例，分别实施临床护理路径联合延续性护理干预和常规护理。结果两组术后首次进食时间、术后下床活动时间、住院时间及住院费用比较，差异有统计学意义（P＜0.05）。研究组健康知识掌握情况及护理质量满意度均优于对照组（P＜0.05）。出院后研究组SF-36量表生理职能、躯体疼痛、总体健康、活力、社会功能和心理健康评分均显著高于对照组（P＜0.05）。结论住院期间临床护理路径的应用可以提高对腹腔镜胆囊切除术患者的护理服务质量，出院后延续护理干预为术后出院患者提供更多的护理支持，有利于促进患者的康复，提高生活质量。
목적：탐토림상로경연합연속성호리대급진복강경담낭절제술환자예후급생활질량적영향。방법선택250례복강경담낭절제술환자，분위연구조127례화대조조123례，분별실시림상호리로경연합연속성호리간예화상규호리。결과량조술후수차진식시간、술후하상활동시간、주원시간급주원비용비교，차이유통계학의의（P＜0.05）。연구조건강지식장악정황급호리질량만의도균우우대조조（P＜0.05）。출원후연구조SF-36량표생리직능、구체동통、총체건강、활력、사회공능화심리건강평분균현저고우대조조（P＜0.05）。결론주원기간림상호리로경적응용가이제고대복강경담낭절제술환자적호리복무질량，출원후연속호리간예위술후출원환자제공경다적호리지지，유리우촉진환자적강복，제고생활질량。
Objective To investigate the effect of clinical nursing path combined continuity of care for patient outcomes and quality of life in emergency laparoscopic cholecystectomy. Methods A total of 250 cases of laparoscopic cholecys-tectomy were divided into study group (127 cases)and control group (123 cases), were joint implementation of clinical nursing path and continuity of nursing intervention and usual care. Results The first postoperative feeding time, postop-erative ambulation time, hospital stay and hospital costs were significantly(P<0.05). Case study group health knowledge and satisfaction with the quality of care were better than the control group(P<0.05). Study group after discharge physi-ological functions of the SF-36 scale, bodily pain, general health, vitality, social functioning and mental health scores were significantly higher in study group (P<0.05). Conclusion Application of clinical nursing path during hospitaliza-tion can now improve laparoscopic cholecystectomy quality of care of patients after discharge from hospital extended care patients discharged after intervention to provide more care support, and promoting the rehabilitation of patients.