临床护理路径应用于成年男性腹腔镜腹股沟疝无张力修补术围手术期的效果评价

目的探讨临床护理路径在成年男性腹腔镜腹股沟疝修补术围手术期的应用及效果。方法我科自2015年3月至2017年2月采用腹腔镜术式(完全腹膜外腹股沟疝无张力修补术,TEP)治疗成年男性腹股沟疝149例,依据护理方法将患者分为两组(住院号单号为路径组,双号为对照组):路径组(72例)与对照组(77例)。观察组采用腹股沟疝临床护理路径对患者进行全面的宣教及干预,对照组采用一般护理宣教和干预。主要比较两种护理方式的总住院天数、术后住院天数、术后6 h、24 h疼痛评分、住院总费用、健康知识掌握情况及护理满意度等资料。结果和对照组相比,路径组患者住院时间缩短、术后6 h、24 h疼痛评分明显降低,护理满意度比对照组明显增高(P0.05)。结论临床护理路径的应用降低了住院时间,减轻患者疼痛,提高护理满意度。

Evaluation of the effect of clinical nursing pathway in the perioperative period of tension-free inguinal hernia repair in adult males

Objective To explore the effects of clinical nursing path in the perioperative period of adult male laparoscopic inguinal hernia repair. Methods From March 2015 to February 2017, 149 cases of inguinal hernia in adult men were treated by laparoscopic surgery （totally extraperitoneal inguinal hernia without tension repair, TEP）. According to the nursing procedure, the patients were randomly divided into two groups：the path group （72 cases） and the control group （77 cases）. The observation group adopted the clinical nursing path of inguinal hernia for the patients to carry out comprehensive education and intervention, and the control group adopted general nursing education and intervention. The total length of hospital stay, postoperative hospitalization days, postoperative 6 h, 24 h pain score, total hospitalization expenses, health knowledge and nursing satisfaction of two nursing methods were compared. Results Compared with the control group, the patients in the path group had shorter hospitalization time, 6 h and 24 h postoperative pain score, and the nursing satisfaction was significantly higher than that in the control group （P<0.05）. Conclusion The application of clinical nursing path has reduced the time of hospitalization, alleviated the pain of the patients, and improved the satisfaction of nursing. It is worth popularizing.