孙海燕 倪俊玲

[摘要] 目的 研究探討临床护理路径在食管癌患者术后放化疗护理的应用效果以及应用价值。方法 随机选择100例该院所收治的食管癌患者，该次研究的时间范围为2018年5月—2019年5月。使用随机数字法将100例患者分为两组，每组50例，一组为实验组，一组为对照组。实验组患者采用临床护理路径方法进行护理，对照组患者采用常规的护理方法进行护理。比较分析两组患者的负面情绪评分、并发症发生概率、进食时间、住院时间以及健康知识知晓情况评分、患者的护理满意度、治疗有效率。结果 ①实验组患者的治疗有效率为100.00%（50/50）远高于对照组患者的治疗有效率80.00%（40/50），两组之间差异有统计学意义（χ2=11.960，P=0.001），实验组患者的护理效果更好。②实验组患者的进食时间、住院时间以及健康知识知晓情况评分均优于对照组患者，两组之间差异有统计学意义（P<0.05）。③实验组患者的护理满意度明显高于对照组患者，两组差异有统计学意义（P<0.05）。④实验组患者的并发症发生概率明显低于对照组患者，差异有统计学意义（χ2=8.273，P=0.004）。⑤在护理工作开始前，两组患者的负面情绪评分差异无统计学意义（P>0.05），在护理之后，两组患者的负面情绪均有所改善，其中实验组患者的负面情绪评分改善情况明显优于对照组患者，两组患者之间差异有统计学意义（t=28.451，P=0.000;t=10.839，P=0.001）。结论 临床护理路径方法相比于传统的护理方法的护理效果较好，可以有效的提高患者的治疗有效率，提高患者的护理满意度以及护理满意度评分，有效的降低患者的并发症发生概率，加快患者的病情恢复。

[关键词] 临床护理路径;食管癌患者;术后护理;应用效果

[中图分类号] R47          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0124-04

The Value of Clinical Nursing Pathway in Postoperative Radiotherapy and Chemotherapy for Patients with Esophageal Cancer

SUN Hai-yan， NI Jun-ling

Supply Room of the First People's Hospital of Honghe Prefecture， Honghe， Yunnan Province， 661199 China

[Abstract] Objective To investigate the effect and value of clinical nursing pathways in postoperative radiotherapy and chemotherapy for patients with esophageal cancer. Methods A total of 100 patients with esophageal cancer treated in the hospital were random  selected. The study period was from May 2018 to May 2019. Random number method was used to divide 100 patients into two groups， each group of 50 people， one group was the experimental group and the other was the control group. Patients in the experimental group were treated with clinical nursing pathways， and patients in the control group were treated with conventional nursing methods. The negative emotion scores， the probability of complications， the time of eating， the length of hospitalization and the awareness of health knowledge， the patient's nursing satisfaction， and the treatment efficiency were compared and analyzed between the two groups of patients. Results 1.The treatment effective rate of the patients in the experimental group 100.00%（50/50） was much higher than that of the patients in the control group 80.00%（40/50）. and the difference was statistically significant （χ2=11.960，P=0.001）： the patients in the experimental group have better nursing effect. 2. The eating time， length of hospital stay， and health knowledge awareness scores in the experimental group were better than those in the control group and the difference was statistically significant（P<0.05）. 3. Patients in the experimental group had significantly higher nursing satisfaction than patients in the control group， and there were differences between the two groups with statistical significance （P<0.05）. 4.The probability of complications in the experimental group was significantly lower than that in the control group. and the difference was statistically significant （χ2=8.273，P=0.004）. 5. Before the start of nursing work， there was no statistically significant difference in the negative emotion scores of the two groups of patients（P>0.05）. After the nursing， the negative emotions of the two groups of patients improved， and the improvement of the negative emotion scores of the experimental group was significantly better than that of the control group. In the group of patients， the difference between the two groups of patients was extremely significant（t=28.451，P=0.000;t=10.839，P=0.001）. Conclusion Compared with the traditional nursing method， the clinical nursing path method has better nursing effect， which can effectively improve the treatment efficiency of patients， improve the patient's nursing satisfaction and nursing satisfaction score， and effectively reduce the probability of patients' complications. To accelerate the recovery of patients.

[Key words] Clinical nursing pathway; Esophageal cancer patients; Postoperative care; Application effect

食管癌是我们国家极为常见的一种恶性肿瘤疾病，该疾病是发展中国家主要的一种消化系统恶性肿瘤疾病。……