中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
17期
119-121,124
,共4页
临床护理路径%妇产科%手术
臨床護理路徑%婦產科%手術
림상호리로경%부산과%수술
Clinical nursing pathway%Department of gynecology and obstetrics%Operation
目的：研究临床护理路径(CNP)在妇产科择期手术患者护理过程中的应用效果。方法以本院2013年1月~2014年1月妇产科收治的110例择期手术患者为研究对象，随机分为A组与B组，所有患者均积极进行基础治疗与护理，A组患者在此基础上增加临床护理路径内容，比较两组患者的术前心理状态、术中应激水平、术后生活质量评分和护理满意度。结果 A组的术后焦虑、抑郁、恐惧和人际关系敏感得分分别为(2.03±0.48)、(1.84±0.27)、(1.74±0.30)、(1.92±0.31)分，均显著低于B组的(2.58±0.54)、(2.35±0.38)、(2.43±0.49)、(2.17±0.44)分(P<0.05)；A组的术中应激水平亦低于B组(P<0.05)；A组的术后睡眠质量、疼痛水平、躯体症状和心理健康水平得分分别为(84.58±5.47)、(45.24±6.69)、(65.69±5.02)、(89.37±3.21)分，B组分别为(79.42±3.02)、(54.48±8.65)、(78.74±6.63)、(84.36±5.46)分，A组的术后生活质量显著高于B组(P<0.05)；A组的护理满意度(85.45%)高于B组(67.27%)(P<0.05)。结论 CNP可以在妇产科择期手术患者的护理中发挥积极作用，其不仅可以降低患者的心理和生理应激水平，还可以改善患者的生活质量和提高护理满意度。
目的：研究臨床護理路徑(CNP)在婦產科擇期手術患者護理過程中的應用效果。方法以本院2013年1月~2014年1月婦產科收治的110例擇期手術患者為研究對象，隨機分為A組與B組，所有患者均積極進行基礎治療與護理，A組患者在此基礎上增加臨床護理路徑內容，比較兩組患者的術前心理狀態、術中應激水平、術後生活質量評分和護理滿意度。結果 A組的術後焦慮、抑鬱、恐懼和人際關繫敏感得分分彆為(2.03±0.48)、(1.84±0.27)、(1.74±0.30)、(1.92±0.31)分，均顯著低于B組的(2.58±0.54)、(2.35±0.38)、(2.43±0.49)、(2.17±0.44)分(P<0.05)；A組的術中應激水平亦低于B組(P<0.05)；A組的術後睡眠質量、疼痛水平、軀體癥狀和心理健康水平得分分彆為(84.58±5.47)、(45.24±6.69)、(65.69±5.02)、(89.37±3.21)分，B組分彆為(79.42±3.02)、(54.48±8.65)、(78.74±6.63)、(84.36±5.46)分，A組的術後生活質量顯著高于B組(P<0.05)；A組的護理滿意度(85.45%)高于B組(67.27%)(P<0.05)。結論 CNP可以在婦產科擇期手術患者的護理中髮揮積極作用，其不僅可以降低患者的心理和生理應激水平，還可以改善患者的生活質量和提高護理滿意度。
목적：연구림상호리로경(CNP)재부산과택기수술환자호리과정중적응용효과。방법이본원2013년1월~2014년1월부산과수치적110례택기수술환자위연구대상，수궤분위A조여B조，소유환자균적겁진행기출치료여호리，A조환자재차기출상증가림상호리로경내용，비교량조환자적술전심리상태、술중응격수평、술후생활질량평분화호리만의도。결과 A조적술후초필、억욱、공구화인제관계민감득분분별위(2.03±0.48)、(1.84±0.27)、(1.74±0.30)、(1.92±0.31)분，균현저저우B조적(2.58±0.54)、(2.35±0.38)、(2.43±0.49)、(2.17±0.44)분(P<0.05)；A조적술중응격수평역저우B조(P<0.05)；A조적술후수면질량、동통수평、구체증상화심리건강수평득분분별위(84.58±5.47)、(45.24±6.69)、(65.69±5.02)、(89.37±3.21)분，B조분별위(79.42±3.02)、(54.48±8.65)、(78.74±6.63)、(84.36±5.46)분，A조적술후생활질량현저고우B조(P<0.05)；A조적호리만의도(85.45%)고우B조(67.27%)(P<0.05)。결론 CNP가이재부산과택기수술환자적호리중발휘적겁작용，기불부가이강저환자적심리화생리응격수평，환가이개선환자적생활질량화제고호리만의도。
Objective To explore the application effect of clinical nursing pathway (CNP) for patients of gynecology and obstetrics receiving selective operation. Methods 110 patients who were admitted to the department of gynecology and obstetrics in our hospital from January 2013 to January 2014 and received selective operation were selected as research subjects.They were randomly divided into the group A and the group B,and all patients were given active basic treat-ment and nursing.Patients in the group A also received CNP on the basis of the basic nursing. The preoperative mental conditions,stress level during operation,postoperative life quality and satisfaction degree of nursing between the two groups were compared. Results Score of postoperative anxiety,depression,fear and sensitivity to interpersonal relations in the group A were (2.03±0.48),(1.84±0.27),(1.74±0.30) and (1.92±0.31) points respectively,which were all significantly lower than those of (2.58±0.54),(2.35±0.38),(2.43±0.49) and (2.17±0.44) points in the group B respectively (P<0.05).The stress level in the group A during operation was also lower than that in the group B (P<0.05).Score of sleeping quality, pain level, somatic symptoms and level of mental health in the group A were (84.58±5.47), (45.24±6.69), (65.69±5.02) and (89.37±3.21) points respectively,and those in the group B were (79.42±3.02),(54.48±8.65),(78.74±6.63) and (84.36±5.46) points respectively,and the postoperative life quality in the group A was significantly better than that in the group B (P<0.05).The satisfaction rate in the group A (85.45%) was higher than that of 67.27% in the group B (P<0.05). Conclusion CNP has an active effect in the nursing for patients in department of gynecology and obstetrics receiving selective operation,which is not only able to reduce patients’ mental and physiological stress level,but also is able to improve patients’life quality and satisfaction degree of nursing.
