李超群

[摘要]目的 探讨临床护理路径在腹腔镜直肠癌根治术患者中的应用效果。方法 选取2016年1月～2019年1月我院收治的104例腹腔镜直肠癌根治术患者为研究对象进行回顾性分析，按照护理方案不同分为对照组（n=52）与研究组（n=52）。对照组采用常规护理模式，研究组采用临床护理路径模式。比较两组的并发症总发生率、康复时间及主观护理满意度。结果 ①研究组的并发症总发生率低于对照组，差异有统计学意义（P<0.05）;②研究组的康复时间（肛门排气时间、下床时间、住院时间）短于对照组，差异有统计学意义（P<0.05）;③研究组的主观护理体验优良率高于对照组，差异有统计学意义（P<0.05）。结论 临床护理路径在腹腔镜直肠癌根治术患者的应用效果良好，可有助于减少手术并发症，促进患者康复，并改善其主观护理体验，值得临床借鉴。

[关键词]临床护理路径;腹腔镜直肠癌根治术;常规护理;主观护理体验;并发症;康复时间

[中图分类号] R473.73          [文献标识码] A          [文章编号] 1674-4721（2020）7（c）-0238-03

Application of clinical nursing pathway in patients undergoing laparoscopic radical rectal cancer surgery

LI Chao-qun

Operating Room， Shenyang Anorectal Hospital， Liaoning Province， Shenyang   110000， China

[Abstract] Objective To explore the appliction effect of clinical nursing pathway in laparoscopic rectal cancer patients. Methods A retrospective analysis was made on 104 patients who underwent laparoscopic rectal cancer radical operation from January 2016 to January 2019. According to different nursing plans， they were divided into control group （n=52） and study group （n=52）. The control group adopted routine nursing mode， and the study group adopted clinical nursing path mode. The total incidence of complications， recovery time and subjective nursing satisfaction were compared between the two groups. Results ①The total incidence of complications in the study group was lower than that in the control group， and the difference was statistically significant （P<0.05）. ②Rehabilitation time （anal exhaust time， bed time， hospitalization time） in the study group were shorter than those in the control group， the differences were statistically significant （P<0.05）. ③The excellent rate of subjective nursing experience in the study group was higher than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion The application of clinical nursing pathway in laparoscopic radical resection of rectal cancer has a good effect， which can help to reduce the complications of operation， promote the recovery of patients， and improve their subjective nursing experience， which is clinical reference.

[Key words] Clinical nursing path; Laparoscopic radical resection of rectal cancer; Routine nursing; Subjective nursing experience; Complications; Rehabilitation time

直腸癌作为一种消化系统恶性肿瘤，以低位直肠癌较多见，主要采取腹腔镜直肠癌根治术治疗，可有效切除肿瘤，且创伤小、疼痛轻、恢复快等，但因护理人员专业素养参差不齐，影响手术效果，为患者带来生理、心理、经济方面的压力[1-3]。因此，探索合理、适宜、高效的护理方案十分必要，其中临床护理路径作为一种较新颖护理模式，以围术期时间、护理内容为纵横轴制定针对性、个性化日程计划表，根据表格执行护理方案、规范护理人员服务行为，大幅度提高护理质量，在各种疾病护理领域取得良好效果[4]。笔者认为可尝试在腹腔镜直肠癌根治术中应用临床护理路径模式，以提高护理质量，达到预防并发症、促进患者康复、改善护理体验等目标。为证明上述猜想合理性，特开展本分组对照试验，以回顾性分析方法比较不同护理方案（临床护理路径vs.常规护理）对腹腔镜直肠癌根治术的辅助作用，现报道如下。……