摘要
目的探讨临床护理路径对直肠癌腹腔镜下Miles手术疗效和术后患者生存质量的影响。方法对我科收治的60例接受腹腔镜下Miles手术的低位直肠癌患者施行临床护理路径和常规护理，评估患者疗效和术后生存质量。结果观察组患者满意率为（95．0±0．4）％，平均住院时间（14．5±1．2）d，住院费用（28156．0±572．5）元，对照组分别为（75．0±2．6）％，（16．5±1．3）d和（34245．0±785．6）元，两组间差异具有统计学意义（P〈0．05）；观察组患者术后并发症、接受和护理造口时间显著低于对照组（P〈0．05）；两组患者术前生存质培差异无统计学意义（P〉0．05），观察组术后评分显著高于对照组，患者生存质量显著增加（P〈0．05）。结论临床护理路径显著降低直肠癌腹腔镜下Miles手术患者住院时间和费用，减少术后并发症，提高患者满意度，显著增加术后患者生存质量，是腹腔镜下Miles手术护理方式的最佳选择。
Objective To study the effect of clinical nursing pathways on the postoperative efficacy and quality of life of laparoscopic Miles surgery for rectal cancer. Methods 60 cases of lower rectal cancer patients received laparoscopic Miles surgery from Jan 2005 to Jan 2008 were given clinical nursing pathway and common nursing treatment. Clinical curative effect and quality of life were evaluated and compared. Results The satisfactory ratio, average hospitalization time and average expense of hospitalization were （ 95.0 ± 0.4 ） % , （ 14.5 ± 1.2 ） days and （ 28 156.0 ± 572.5 ） yuan respectively, while they were （75.0 ± 2.6） % , （ 16.5 ± 1.3 ） days and （ 34 245. 0 ± 785. 6 ） yuan in the control group. The differences between the two groups were statistically significant （ P 〈 0. 05 ）. The observation group were lower than control group in aspects of postoperative complications and time of colostomy accepting and nursing （ P 〈 0. 05 ）. The preoperative qualities of life had no difference between the two groups （ P 〉 0. 05 ） , but observation group had higher postoperative quality of life （ P 〈 0. 05 ）. Conclusions Clinical nursing pathway could significantly reduce hospitalization day and fees, postoperative complications improve the quality of life and satisfactory ratio for rectal cancer patients accepted laparoscopic Miles surgery. It may be the best nursing choice for laparoscopic Miles surgery.
出处
《中华现代护理杂志》
2011年第7期793-796,共4页
Chinese Journal of Modern Nursing
