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基于循证护理的手术护理路径在腹腔镜胆囊切除术患者中的应用 被引量:21

Application of Evidence-based Nursing Path in Patients with Laparoscopic Cholecystectomy
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摘要 目的:探讨基于循证护理的手术护理路径在腹腔镜胆囊切除术(LC)患者中的应用效果。方法:将96例择期行LC患者随机分为对照组和观察组各48例,对照组采用常规术中护理模式,观察组在常规护理基础上采用基于循证护理的手术护理路径,比较两组患者术前准备时间、手术时间、术中不良事件发生率、医生对护理工作的满意度。结果:观察组手术时间、术中出血量均少于对照组(P <0. 05);观察组术中不良事件发生率、术后并发症发生率均低于对照组(P <0. 05);观察组医生对护理的满意度、患者对护理的满意度均高于对照组(P <0. 05)。结论:基于循证护理的手术护理路径在LC患者中的应用效果较好,可有效减少术中出血量和手术时间,降低术中不良事件和术后并发症发生率,提高医生和患者对护理的满意度。 Objective: To explore the application effect of evidence-based nursing path in laparoscopic cholecystectomy( LC) patients.Methods: A total of 96 patients undergoing elective LC were randomly divided into control group and observation group with 48 cases each.The control group was used conventional pattern of operative care,and the observation group was imiplemented evidence-based nursing path on the basis of conventional nursing. The preoperative preparation time,operation time,incidence of adverse events in operation,and satisfaction of the doctor to nursing were compared between the groups. Results: The operation time and blood loss in operation in the observation group were less than those in the control group( P < 0. 05). The incidence of adverse events in operation and postoperative complications in the observation group was lower than that in the control group( P < 0. 05). The satisfaction of doctors and patients to nursing in the observation group was higher than that in the control group( P < 0. 05). Conclusion: The application of evidence-based nursing in LC has a good effect. It can effectively reduce intraoperative blood loss and operation time,decrease the incidence of intraoperative adverse events and postoperative complications,and improve the satisfaction of doctors and patients to nursing.
作者 孙超男 李娜 刘承汾 孟芹 张艳霞 李卫华 Sun Chaonan;Li Na;Liu Chengfen(Qilu Hospital of Shandong University,Jinan Shandong 250012,China)
出处 《齐鲁护理杂志》 2019年第12期17-19,共3页 Journal of Qilu Nursing
关键词 循证护理 护理路径 腹腔镜胆囊切除术 术中不良事件 Evidence-based Nursing Nursing Path Laparoscopic Cholecystectomy Intraoperative Adverse Events
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