Application of clinical nursing pathway in perioperative nursing of patients undergoing pancreaticoduodenectomy
临床护理路径在胰十二指肠切除术患者围术期护理中的应用

摘要

目的：探讨在胰十二指肠切除术中辅以临床护理路径施护的干预意义。方法：试验者是 2021.03 至 2022.04 在医院行胰十二指肠切除术的病患数量共计 90 例，采取随机信封法分作 2 组，一种设为对照组， 组间数量为 45 例，采用常规围术期护理，另一组设为观察组，病例数为 45 例，采用围术期临床护理路径， 比对组间术后恢复情况、并发症、生活质量及满意度各项护理指标差异。结果：观察组病患首次排气时间、 首次排便时间、肠鸣音恢复时间、手术时间及住院时间各项指标低于对照组病患，观察组病患术后并发症 总发生率低于对照组病患，观察组病患施护总满意度高于对照组病患，P＜0.05。结论：以围术期临床护理 路径进行干预，可促进病患术后恢复，减少并发症发生，同时还能增加病患对于护理服务的满意度，利于 起到改善病患生活质量作用，适宜推广应用。

Abstract

Objective To explore the intervention significance of clinical nursing path in pancreaticoduodenectomy.
Methods:A total of 90 patients underwent pancreaticoduodenectomy in hospital from March 2021.03 to April 2022.04 were divided into two groups by random envelope method. One group was set as the control group, with 45 cases between groups and routine perioperative nursing; the other group was set as the observation group, with 45 cases and perioperative clinical nursing pathway. The differences in nursing indicators of postoperative recovery, complications, quality of life and satisfaction were compared between groups.
Results: The first exhaust time, first defecation time, bowel sound recovery time, operation time and length of hospital stay in the observation group were lower than those in the control group, the total incidence of postoperative complications in the observation group was lower than that in the control group, and the total nursing satisfaction in the observation group was higher than that in the control group, P < 0.05.
Conclusion  : Intervention with perioperative clinical nursing pathway can promote postoperative recovery of patients, reduce complications, and increase patients' satisfaction with nursing services, which is conducive to improving patients' quality of life, and is suitable for promotion and application.