CAJ | 학술논문

目的：探讨基于循证护理理论指导下的临床护理路径在胃肠手术患者中的应用效果。方法：将我院120例行胃肠手术的患者随机分为对照组和观察组各60例，对照组采用传统护理方式，观察组在循证护理理论指导下使用临床护理路径。观察两组患者手术情况以及术后情况。结果：观察组术后肛门排气时间、下床活动时间及住院时间均短于对照组（P ＜0.05）；术后并发症发生率低于对照组（P ＜0.05）；术后 SAS、SDS 及 VAS 评分均低于对照组（P ＜0.05）；患者满意度高于对照组（P ＜0.05）。结论：对胃肠手术患者在循证护理理论指导下行临床护理路径可有效减少患者术后并发症，提高患者满意度，起到促进预后的效果，值得临床应用及推广。
목적：탐토기우순증호리이론지도하적림상호리로경재위장수술환자중적응용효과。방법：장아원120례행위장수술적환자수궤분위대조조화관찰조각60례，대조조채용전통호리방식，관찰조재순증호리이론지도하사용림상호리로경。관찰량조환자수술정황이급술후정황。결과：관찰조술후항문배기시간、하상활동시간급주원시간균단우대조조（P ＜0.05）；술후병발증발생솔저우대조조（P ＜0.05）；술후 SAS、SDS 급 VAS 평분균저우대조조（P ＜0.05）；환자만의도고우대조조（P ＜0.05）。결론：대위장수술환자재순증호리이론지도하행림상호리로경가유효감소환자술후병발증，제고환자만의도，기도촉진예후적효과，치득림상응용급추엄。
Objective:To explore the application effect of clinical nursing pathway based on evidence - based nursing theory in patients with gastrointestinal surgery. Methods:120 patients with gastrointestinal surgery were randomly divided into the control group and the obser-vation group(60 cases in each group). The traditional nursing method was used in the control group;the clinical nursing pathway was a-dopted under the guidance of evidence - based nursing theory in the observation group. The patientsˊ conditions were observed in the two groups after surgery. Results:The postoperative anal exhaust time,hospitalization time and ambulation time was shorter and earlier in the observation group than the control group(P < 0. 05);the incidence of postoperative complications was lower in the observation group than the control group(P < 0. 05);the postoperative scores of SDS,SAS and VAS were lower in the observation group than those in the control group(P < 0. 05);the satisfaction rate of the patients was higher in the observation group than the control group(P < 0. 05). Conclusion:The clinical nursing pathway based on evidence - based nursing theory can effectively reduce the postoperative complications and improve patient satisfaction and prognosis.