中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
13期
1548-1550
,共3页
临床路径%颈椎前路手术%护理质量%满意度
臨床路徑%頸椎前路手術%護理質量%滿意度
림상로경%경추전로수술%호리질량%만의도
Clinical pathway%Cervical vertebra anterior approach%Quality of care%Satisfactory level
目的 设计适用于颈椎前路手术的临床护理路径,评价临床护理路径在颈椎前路手术中应用效果.方法 2010年4月-2013年3月156例拟行颈椎前路手术的患者作为研究对象,随机分为两组(每组78例),观察组按照自制的临床护理路径观察表进行手术护理,对照组按照常规处理,观察两组患者术中出血量、手术时间、并发症发生率和患者满意度等指标的改变.结果 观察组术中出血量为(144.67 ±70.64) ml、手术时间(111.67±53.46) min均少于对照组(189.33 ±74.60)ml,(260.01±72.11) min,差异均有统计学意义(t分别为-5.931,-2.862;P ＜0.05);观察组出现声嘶2例(2.56％)、呛咳14例(17.95％)、咽部疼痛10例(12.82％),均明显少于对照组(14.10％,41.03％,35.90％),差异均有统计学意义(x2分别为6.797,9.989,11.272;P ＜0.05);观察组患者对手术室护理服务工作的满意度平均得分(4.59±0.94)分,明显高于对照组(3.06±1.02)分,差异有统计学意义(t=3.650,P＜0.05).结论 按照自制的颈椎前路手术临床护理路径表对颈椎前路手术患者进行手术配合可减少患者手术时间、术中出血量、并发症发生率,提高患者满意度.
目的 設計適用于頸椎前路手術的臨床護理路徑,評價臨床護理路徑在頸椎前路手術中應用效果.方法 2010年4月-2013年3月156例擬行頸椎前路手術的患者作為研究對象,隨機分為兩組(每組78例),觀察組按照自製的臨床護理路徑觀察錶進行手術護理,對照組按照常規處理,觀察兩組患者術中齣血量、手術時間、併髮癥髮生率和患者滿意度等指標的改變.結果 觀察組術中齣血量為(144.67 ±70.64) ml、手術時間(111.67±53.46) min均少于對照組(189.33 ±74.60)ml,(260.01±72.11) min,差異均有統計學意義(t分彆為-5.931,-2.862;P ＜0.05);觀察組齣現聲嘶2例(2.56％)、嗆咳14例(17.95％)、嚥部疼痛10例(12.82％),均明顯少于對照組(14.10％,41.03％,35.90％),差異均有統計學意義(x2分彆為6.797,9.989,11.272;P ＜0.05);觀察組患者對手術室護理服務工作的滿意度平均得分(4.59±0.94)分,明顯高于對照組(3.06±1.02)分,差異有統計學意義(t=3.650,P＜0.05).結論 按照自製的頸椎前路手術臨床護理路徑錶對頸椎前路手術患者進行手術配閤可減少患者手術時間、術中齣血量、併髮癥髮生率,提高患者滿意度.
목적 설계괄용우경추전로수술적림상호리로경,평개림상호리로경재경추전로수술중응용효과.방법 2010년4월-2013년3월156례의행경추전로수술적환자작위연구대상,수궤분위량조(매조78례),관찰조안조자제적림상호리로경관찰표진행수술호리,대조조안조상규처리,관찰량조환자술중출혈량、수술시간、병발증발생솔화환자만의도등지표적개변.결과 관찰조술중출혈량위(144.67 ±70.64) ml、수술시간(111.67±53.46) min균소우대조조(189.33 ±74.60)ml,(260.01±72.11) min,차이균유통계학의의(t분별위-5.931,-2.862;P ＜0.05);관찰조출현성시2례(2.56％)、창해14례(17.95％)、인부동통10례(12.82％),균명현소우대조조(14.10％,41.03％,35.90％),차이균유통계학의의(x2분별위6.797,9.989,11.272;P ＜0.05);관찰조환자대수술실호리복무공작적만의도평균득분(4.59±0.94)분,명현고우대조조(3.06±1.02)분,차이유통계학의의(t=3.650,P＜0.05).결론 안조자제적경추전로수술림상호리로경표대경추전로수술환자진행수술배합가감소환자수술시간、술중출혈량、병발증발생솔,제고환자만의도.
Objective To research and develop a suitable clinical pathway chart for patients undergoing cervical vertebra anterior approach.Methods Totals of 156 cases undergoing cervical vertebra anterior approach,from April 2010 to March 2013,were selected and randomly divided into the observation group (78cases) and the control group (78 cases).The control group was using the traditional care and health education,while the observation group accepted new nursing pattern that following clinical pathway chart.The amount of bleeding,operation time,the incidence of complication and satisfactory level were compared between groups.Results The amount of bleeding and operation time in the observation group were (144.67 ± 70.64) ml and (111.67 ± 53.46) min,which were significantly lower than (189.33 ± 74.60) ml and (260.01 ± 72.11) min in the control group (t =-5.931,-2.862,respectively ; P ＜ 0.05).In the observation group,2 patients (2.56％) had postoperative hoarseness,14 patients (17.95％) had bucking,10 patients (12.82％) had pharynx pain.Those incidences in the control group were 14.10％,41.03％ and 35.90％.The differences were significant (x2 =6.797,9.989,11.272,respectively ; P ＜ 0.05).The mean score of satisfaction in the observation group was (4.59 ± 0.94),which was significantly higher (3.06 ± 1.02) in the control group (t =3.650,P ＜ 0.05).Conclusions Application of clinical pathway chart for patients undergoing cervical vertebra anterior approach can shorten the operation time and has lower incidence of postoperative complications,and it can improve satisfactory level.
