[摘要] 目的 探討臨床護(hù)理路徑干預(yù)對(duì)在胃癌手術(shù)患者的影響。方法 方便選取60例胃癌手術(shù)患者作為研究對(duì)象，收取時(shí)間2015年12月—2017年6月，分為觀察組（臨床護(hù)理路徑干預(yù)）30例、對(duì)照組（常規(guī)圍手術(shù)期護(hù)理措施）30例，并對(duì)60例患者的術(shù)后康復(fù)指標(biāo)、生活質(zhì)量及護(hù)理滿意度進(jìn)行觀察且評(píng)價(jià)。結(jié)果 兩組患者對(duì)比術(shù)后康復(fù)指標(biāo)差異有統(tǒng)計(jì)學(xué)意義（P<0.05），即觀察組腸鳴音出現(xiàn)時(shí)間（23.61±5.62）h、肛門排氣時(shí)間（34.25±6.52）h、下床活動(dòng)時(shí)間（7.05±3.56）d，對(duì)照組—腸鳴音出現(xiàn)時(shí)間（35.62±7.25）h、肛門排氣時(shí)間（56.21±9.25）h、下床活動(dòng)時(shí)間（9.25±4.62）d。兩組患者生活質(zhì)量對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05），即觀察組食欲（3.92±1.25）分、精神（4.25±0.56）分、睡眠（3.86±1.42）分、認(rèn)知（4.56±0.52）分、日常生活能力（4.45±0.54）分，對(duì)照組食欲（2.52±1.01）分、精神（3.14±0.21）分、睡眠（2.56±1.05）分、認(rèn)知（3.25±0.41）分、日常生活能力（3.25±0.30）分。觀察組患者護(hù)理滿意度96.67%高于對(duì)照組患者的護(hù)理滿意度66.67%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 臨床護(hù)理路徑干預(yù)應(yīng)用于胃癌手術(shù)患者具有顯著的臨床效果。
　　[關(guān)鍵詞] 臨床護(hù)理路徑；胃癌；手術(shù)
　　[中圖分類號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2018）01（c）-0153-03
　　[Abstract] Objective This paper tries to explore the effect of clinical nursing pathway intervention on patients with gastric cancer surgery. Methods 60 cases of gastric cancer patients as the research objects from December 2015 to June 2017 were convenient selected and divided into the observation group （clinical nursing path） with 30 patients and the control group（routine nursing measures） with 30 cases， and 60 cases of rehabilitation of patients with postoperative index， quality of life and nursing and satisfaction were observed and evaluated. Results There were significant differences between the two groups in postoperative rehabilitation indicators the difference was statistically significant（P<0.05）， that is， the observation group - bowel sounds appear time（23.61±5.62）h， anal vent tim（34.25±6.52）h， ambulation time （7.05±3.56）d， control group - bowel sounds appear time（35.62±7.25）h， anal exhaust time（56.21±9.25）h， ambulation time（9.25±4.62）d. There were significant differences in quality of life between the two groups the difference was statistically significant（P<0.05）， that is， the observation group appetite（3.92±1.25）points， mental（4.25±0.56）points， sleep（3.86±1.42）points， cognition（4.56±0.52）points， daily living ability （4.45±0.54）points， control group - appetite（2.52±1.01）points， mental（3.14±0.21）points， sleep（2.56±1.05）points， cognition（3.25±0.41）points， daily living ability of（3.25±0.30）points. The nursing satisfaction of the observation group was 96.67% higher than that of the control group of 66.67% the difference was statistically significant（P<0.05）. Conclusion Clinical nursing pathway intervention should be used in patients with gastric cancer surgery， with significant clinical effect.
　　[Key words] Clinical nursing pathway； Gastric cancer； Operation
　　胃癌是臨床上較為常見的惡性腫瘤之一，若不給予手術(shù)治療，可危及患者的生命安全；但是在手術(shù)治療的同時(shí)患者可出現(xiàn)較為強(qiáng)烈的負(fù)面情緒，從而對(duì)治療效果造成影響[1]；該院為了探討臨床護(hù)理路徑干預(yù)對(duì)在胃癌手術(shù)患者的影響，將2015年12月—2017年6月收治的60例患者作為研究對(duì)象，具體見正文描述。

相關(guān)熱詞搜索：胃癌 干預(yù) 路徑 臨床 護(hù)理