前瞻性路径化管理模式在食管癌根治术中的应用

[摘要] Abstract：Objective To investigate the effect of perspective nursing pathway management in patients with radical resection of esophageal cancer.Methods A total of 132 patients with radical resection for esophageal cancer were selected before implementation of perspective nursing pathway management(between January 2015 and April 2015, n=66)and after implementation of perspective nursing pathway management(between May 2015 and August 2015, n=66)and assigned to the control group and the study group. The control group received routine nursing care while the perspective nursing pathway management was applied in the study group. The intraoperative complication, operation time and length of postoperative stay were observed, and the satisfaction degree of patients to nursing safety and quality was evaluated.Results The intraoperative complication rate was 12.12%(8/66)in the study group and was 27.27%(18/66)in the control group, with a significant difference(P<0.05). The operation time and length of postoperative stay were shorter in the study group than those of controls, with significant difference(P<0.01). Patients in the study group were more satisfied with nursing safety and quality in operation room than those in the control group(P<0.01).Conclusion Perspective nursing pathway management is potentially effective to reduce the intraoperative complication, shorten operation time and improve nursing satisfaction of patients with radical resection of esophageal cancer.

[学科分类] 护理学

[关键词] 护理;前瞻性;临床路径;食管癌;根治术