徐青青

[摘要]目的 分析臨床护理路径配合责任制护理对输卵管妊娠手术治疗患者术后康复的影响。方法 选取我院2016年8月～2018年12月采取输卵管妊娠手术治疗的50例患者，随机分为实验组及对照组，各25例。实验组实施临床护理路径配合责任制护理，对照组实施常规护理，评价两组患者的术后康复情况及患者对护理工作的满意度。结果 实验组患者的手术时长、住院时长和肛门排气时间均短于对照组，术中出血量少于对照组，异位妊娠再发率低于对照组，宫内妊娠发生率高于对照组，差异均有统计学意义（P<0.05）;两组患者的副反应发生率比较，差异无统计学意义（P>0.05）;实验组患者的护理总满意度高于对照组，差异有统计学意义（P<0.05）。结论 将临床护理路径配合责任制护理应用于输卵管妊娠手术治疗患者，有利于患者术后康复，能够提高患者对护理工作的满意度，值得临床推广应用。

[关键词]临床护理路径;责任制护理;输卵管妊娠手术治疗;术后康复

[中图分类号] R473.71          [文献标识码] A          [文章编号] 1674-4721（2019）9（c）-0250-03

[Abstract] Objective To analyze the influence of clinical nursing pathway combined with responsibility system nursing on post-operative rehabilitation of patients undergoing tubal pregnancy surgery. Methods Altogether 50 patients with tubal pregnancy treated by operation in our hospital from August 2016 to December 2018 were selected and randomly divided into the experiment group and the control group， with 25 cases in each group. The experiment group was given clinical nursing pathway combined with responsibility system nursing， while the control group was given routine nursing. The post-operative rehabilitation and patients′ satisfaction with nursing were evaluated. Results The operation time， hospitalization time and anal exhaust time of the experiment group were shorter than those of the control group， the amount of bleeding during operation of the experiment group was less than that of the control group， the incidence of ectopic pregnancy of the experiment group was lower than that of the control group， and the incidence of intrauterine pregnancy of the experiment group was higher than that of the control group， with significant difference （P<0.05）. There was no statistically significant difference in the incidence of side effects between the two groups （P>0.05）. The patients′ nursing total satisfaction of the experiment group was higher than that of the control group， the difference was statistically significant （P<0.05）. Conclusion The application of clinical nursing pathway combined with responsibility system nursing in the treatment of patients with tubal pregnancy surgery is conducive to the rehabilitation of patients after operation， and can improves the patients′ satisfaction with nursing work， which is worthy of clinical promotion and application.

[Key words] Clinical nursing pathway; Responsibility system nursing; Surgical treatment of tubal pregnancy; Postoperative rehabilitation

作为整体护理的模式之一，临床护理路径具有整体、综合及跨学科的特点，其是指针对某种病症医护人员专门采取的有时间顺序性的临床护理，被认为是最为合适的临床护理方式[1]。责任制护理即责任包干，每名责任护士负责部分患者，以患者为中心，针对患者身心健康采取有目的、有计划的护理[2]。输卵管妊娠是异位妊娠中最多见的，输卵管一旦破裂或流产，极易造成患者腹腔内出血，对患者生命安全造成威胁，因此，及时诊治十分必要。目前，治疗异位妊娠的主要方法为腹腔镜输卵管单侧切除术[3]。患者术后康复依赖临床治疗，但也更依赖良好的护理。本研究旨在分析临床护理路径配合责任制护理对输卵管妊娠手术治疗患者术后康复的影响，现报道如下。……