CAJ | 학술논문

目的：评估临床护理路径在肛肠术后患者中的应用效果。方法选取我院肛肠外科接受手术治疗的140例患者，其中有70例患者接受临床护理路径模式的护理，为观察组；另外70例患者接受肛肠外科常规护理，为对照组。经过一段时间的护理后比较两组患者的护理效果。结果观察组患者疼痛评分、尿潴留发生率及尿管留置时间均低于对照组（P＜0.05），术后恢复时间显著短于对照组（P＜0．01），住院时间与平均住院费用低于对照组（P＜0．05），对疾病了解程度及对护理的满意度均显著优于对照组（ P＜0．01）。结论对肛肠科手术患者实行临床护理路径，有利于提高患者对疾病的认识，缩短住院时间，减少住院费用，提高护理质量和患者的满意度，具有积极的临床意义。
목적：평고림상호리로경재항장술후환자중적응용효과。방법선취아원항장외과접수수술치료적140례환자，기중유70례환자접수림상호리로경모식적호리，위관찰조；령외70례환자접수항장외과상규호리，위대조조。경과일단시간적호리후비교량조환자적호리효과。결과관찰조환자동통평분、뇨저류발생솔급뇨관류치시간균저우대조조（P＜0.05），술후회복시간현저단우대조조（P＜0．01），주원시간여평균주원비용저우대조조（P＜0．05），대질병료해정도급대호리적만의도균현저우우대조조（ P＜0．01）。결론대항장과수술환자실행림상호리로경，유리우제고환자대질병적인식，축단주원시간，감소주원비용，제고호리질량화환자적만의도，구유적겁적림상의의。
Objective To evaluate the effect of the application of clinical nursing on patients with anorectal surgery.Methods Our study selected 140 anorectal surgical patients from the Anorectal Surgical Department of the Hospital as our research subjects , of whom 70 patients who were rendered novel clinical nursing were designated as the observation group, while another 70 patients who re-ceived anorectal clinical routine care were designated as the control group.Clinical nursing effects of the 2 different nursing modes were compared between the 2 groups after a period of nursing.Results Pain scores, incidence of urinary retention and urinary indwelling catheter time were all lower than those of those of the control group (P <0.05).Recovery time after surgery was significantly shorter than that of the control group (P <0.01), and average duration of stay in the hospital and total medical costs were all considerably lower than those of the control group (P <0.05).For the patients in the observation group, knowledge about the disease and satisfac-tion of nursing care were all superior to those of the control group ( P <0.01) .Conclusion The application of novel clinical nursing was beneficial to anorectal surgical patients in the following respects:improving understanding of the diseases, shortening hospital stay, reducing medical costs, improving the quality of nursing and patient satisfaction, and as a whole had positive clinical value in patient clinical nursing.