摘要
目的 考察分析手术室规范护理路径在胃癌根治术患者中的应用效果。方法 设计一项对比试验,启动期限2022年8月至2023年8月,纳入样本本时段院内收治的胃癌根治术患者,人数共17例,结合护理方案的不同进行组别划分,参照组(n=9)实施常规护理,研究组(n=8)实施手术室规范护理路径,最终评价不同干预策略下的疗效作用。比对两组手术时间、首次排气时间、住院时间、应激反应指标、生活质量、并发症发生率差异。结果 研究组各项指标均显优参照组,P<0.05。结论 在胃癌根治术患者临床护理方案的选择上,手术室规范护理路径的应用价值更高,既体现在并发症、应激反应的降低上,还体现在生活质量的提高上,住院时间的缩短上,值得推广。
关键词: 手术室;规范护理路径;胃癌根治术;应用
Abstract
Objective To investigate and analyze the effect of standardized nursing pathway in patients with radical gastric cancer. Methods design a comparative test, start period from August 2022 to August 2023, into the sample this time hospital radical gastric cancer patients, a total of 17 cases, combined with the different nursing groups, reference group (n=9), group (n=8) in the operating room standard nursing path, finally evaluate the curative effect of different intervention strategies. Compared to the operation time, first exhaust time, hospital time, stress response index, quality of life, and complication rate. Results All the indicators in the study group, P<0.05. Conclusion In the selection of clinical nursing plan for patients with radical gastric cancer, the application value of standardized nursing path in operating room is higher, which is not only reflected in the reduction of complications and stress response, but also reflected in the improvement of quality of life and the shortening of hospital stay, which is worth promoting.
Key words: Operating room; Standard nursing path; Gastric cancer radical resection; Application
参考文献 References
[1] 王艳华,费春红,徐慧民. 手术室规范护理路径在胃癌根治术患者中的应用[J].齐鲁护理杂志,2023,29(20):41-44. 1006-7256.2023.20.013.
[2] 陈婷,刘秋秋. 综合性护理干预对腹腔镜下胃癌手术患者术中低体温的影响[J]. 中国社区医师,2019,35(9): 139-140. 1007-614x.2019.09.099.
[3] 张晓然,孙齐,俞莎莎. 系统化手术室护理记录单在普外科胃癌手术中的应用效果[J].中国病案,2021,22(6):8-9,74. 1672-2566.2021.06.004.
[4] 姜继红. 系统化手术室护理记录单在胃癌手术中的应用分析[J]. 健康女性,2023(19):62-63.
[5] 张丽,齐莉恩,王晓艳,等. PDCA循环对提高腹腔镜下胃癌根治术中隔离技术执行率的应用研究[J]. 中国医疗管理科学,2024,14(4):41-46. 2095-7432.2024.04.007.
[6] 张敏,黄晓钰,许可慧,等. 叩齿咽津法对腹腔镜胃癌根治术后患者实施早期肠内营养的效果观察[J]. 中国护理管理,2024,24(9):1298-1302. 1672-1756.2024.09.004.
[7] 余艳丽,黄秀菊,陈群,等. 规范化疼痛管理在腔镜胃癌根治术后疼痛控制中的效果观察[J]. 当代护士(下旬刊), 2020, 27(7):77-78. 1006-6411.2020.21.029.
[8] 张国凤,袁文静,刘晖. 激励式结合预警式护理干预对胃肠手术患者术后并发症、心理状态及生活质量的影响[J]. 国际护理学杂志,2024,43(6): 1095-1098. 221370-20221118 -00259.