摘要目的 探讨临床护理路径在Standford B 型胸主动脉腔内修复术（TEVAR）围术期护理中的应用效果。方法 选取2020年1—10月南昌大学第二附属医院血管外科收治的60 例Stanford B 型主动脉夹层患者作为研究对象，按照随机数字表法分为对照组（30 例）与实验组（30 例）。对照组采用常规护理方法，实验组采用常规护理+临床护理路径方法。比较两组的并发症发生率、健康教育达标率、住院时间、住院费用、护理工作满意度。结果 实验组的并发症总发生率低于对照组，健康教育达标率高于对照组，差异有统计学意义（P＜0.05）；实验组的住院时间短于对照组，住院费用少于对照组，差异有统计学意义（P＜0.05）；实验组的护理工作满意度高于对照组，差异有统计学意义（P＜0.05）。结论 临床护理路径在Standford B 型TEVAR 围术期护理中的应用可显著降低并发症，提高健康教育达标率，缩短住院时间，减少住院费用，提高患者满意度。
Abstract：Objective To explore the effect of clinical nursing pathway in the perioperative nursing of Standford B type thoracic endovascular aortic repair (TEVAR). Methods A total of 60 patients with Stanford B type aortic dissection admitted to the Department of Vascular Surgery of the Second Affiliated Hospital of Nanchang University from January to October 2020 were selected as the research objects and divided into the control group (30 cases) and the experimental group (30 cases). The control group was given routine nursing care, the experimental group adopted routine nursing clinical nursing path method. The incidence of complications, rate of health education, length of stay, cost of hospitalization and satisfaction of nursing work were compared between the two groups. Results The total rate of complications in the experimental group was lower than that in the control group, and the rate of reaching the standard of health education was higher than that in the control group, the differences were statistically significant (P＜0.05). The hospitalization time of the experimental group was shorter than that of the control group, and the hospitalization expense of the experimental group was less than that of the control group, the differences were statistically significant (P＜0.05). The nursing job satisfaction of the experimental group was higher than that of the control group, the difference was statistically significant (P ＜0.05). Conclusion The application of clinical nursing pathway in the perioperative nursing of Standford B type TEVAR can significantly reduce the complications, improve the rate of health education, shorten the length of stay, reduce the cost of hospitalization, improve patient satisfaction.
严依萍；郑春艳；张娜；杨玉金；张佳；蔡小玲. 临床护理路径在Standford B型胸主动脉腔内修复术围术期护理中的应用研究[J]. 中国当代医药, 2021, 28(19): 238-240转245.
YAN Yi-ping ZHENG Chun-yan▲ ZHANG Na YANG Yu-jin ZHANG Jia CAI Xiao-ling. Application study of clinical nursing pathway in perioperative nursing of Standford B type thoracic endovascular aortic repair. 中国当代医药, 2021, 28(19): 238-240转245.
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