临床护理路径在腹腔镜胆囊切除术患者中应用体会.doc

临床护理路径在腹腔镜胆囊切除术患者中应用体会【摘要】目的：探讨临床护理路径在腹腔镜胆囊切除术病人护理中的作用。方法：选取我科住院的80例腹腔镜胆囊切除术患者，随机分为临床护理路径组和对照组，临床护理路径组给予已制定好的护理路径进行护理，对照组给予传统护理方法进行护理。对两组患者的治疗效果、并发症的发生率、住院时间、住院成本、对护理工作的满意度来评价护理效果。结果：两组患者的治疗效果、并发症的发生率无明显差异（P﹥0.05），临床护理路径组的住院时间、住院成本生率明显缩短，患者对护理工作的满意度显著提高，差异具有统计学意义（P﹤0.05）。结论：在腹腔镜胆囊切除术患者的护理中应用临床护理路径，有助于提高护理质量，深化优质服务。 【关键词】腹腔镜胆囊切除术 临床护理路径 护理质量 The application research of clinical care pathway in patients with laparoscopic cholecystectomy Chen xue-ying（Department of General surgery, the first Peoples hospital of Ziyang City, Sichuan 641300） ABSTRACT: Objective: Explore the role of the clinical care pathway (CNP) in the care of patients with laparoscopic cholecystectomy. Methods: Selected 80 cases of laparoscopic cholecystectomy were randomly divided into the CNP and control groups, the CNP group to give the nursing paths has developed good control group received traditional nursing care. The days of waiting for surgery, the incidence of complications, the length of stay, hospitalization costs and the degree of nursing satisfaction were observed in each group and the differences were compared the nursing work. Result: The incidence of complications was no significant difference between two groups(P﹥0.05). The days of waiting for surgery and the length of stay were shorter than those in the control group (P﹤0.05);the hospitalization costs were also less than in those in the control group (P﹤0.05);the degree of satisfaction was higher compared with control group (P﹤0.05) 0.05).Conclusion: Using the CNP model of the care path forms in the laparoscopic cholecystectomy, the nursing quality could be improved and deepened. Key Words: Laparoscopic cholecystectomy; Clinical nursing pathway; Nursing quality 随着现代医学的进展，人们对医疗服务也提出了更高的要求，受工业质量管理的启发，基于缩短患者住院时间，降低患者的住院费用，提高患者的治疗效果，兼顾效益与成本的临床护理路径备受关注。临床护理路径是通过对已确诊某种疾病的患者专门制定一系列护理工作计划，并遵照此计划的内容为患者实施整个护理流程。经腹腔镜胆囊切除术具有手术创口小，患者痛苦少、恢复快等优点，是临床胆囊切除的成熟术式。为探讨临床护理路径对腹腔镜胆囊切除术患者的影响，我们对2012年1月至2012年6月我科收治的经腹腔镜胆囊切除患者施行临床护理路径的干预，临床效果满意，现将有关