【摘要】 目的:探讨临床路径护理在住院患者急诊肠造瘘护理中的实施效果。方法:选取2012年1月-2013年6月未采用临床路径护理的急诊肠造口患者29例为对照组,2014年6月-2016年8月实施临床路径护理的急诊肠造口患者31例为观察组,比较两组患者使用造瘘袋费用、造瘘袋更换次数、造口并发症发生情况、护士护理技能、患者及其亲属自行护理能力情况。结果:与对照组相比,观察组所用造瘘袋和造口附件产生的费用情况以及更换次数显著较少,护理人员及患者亲属自行管理造口综合能力提高,粪汁性皮炎发生率较低,两组比较差异均有统计学意义(P<0.05)。结论:在急诊肠造瘘患者护理造口过程中应用临床路径护理能得到理想的效果,降低造口相关并发症,降低患者住院费用,提高患者和家属自护及护理人员的护理能力。更多还原

【Abstract】 Objective:To explore the effect of clinical pathway for nursing of emergency enterostomy in hospital patients. Method: 29 cases without clinical pathway nursing from January 2012 to June 2013 were chosen as control group, and 31 cases with clinical pathway nursing from June 2014 to August 2016 as experimental group, the data of the cost for ostomy bag, the replacement times of ostomy bag, the complications after enterostomy, the level of nursing skills and the self-care ability of patients and relatives were compared between two groups. Results: Compared with control group, the cost and replacement frequency of ostomy bag including accessories were significantly less,the self-care ability of stoma management of patients and relatives were comprehensive enhanced, the incidence rate of stoma dermatitis wasdepressed.The data were significantly different between two groups(P< 0.05). Conclusion: Clinical pathway for nursing of emergency enterostomy can decrease the incidence rate of ostomy related complications, reduce the cost of hospitalization, improve the stoma self-care ability of patients and relatives.更多还原