宫颈癌患者术后临床护理路径效果分析

宫颈癌患者术后临床护理路径效果分析 1 宫颈癌患者术后临床护理路径效果分析 [摘要] 目的 视察宫颈癌患者术后予以临床护理路径的效果及其影响。 方法 探讨对象选取我院 2015 年 8 月～2016 年 7 月间接受宫颈癌根治术治疗的宫颈癌患者 88 例，依照随机数字表法将其分为比照组和视察组，每组 44 例。 比照组患者予以常规护理，视察组患者依据制定的临床护理路径进行护理。 比较两组患者对健康教化学问的知晓程度、护理满足度、两组患者并发症发生率及自理实力复原状况。 结果 视察组患者健康学问知晓度明显高于比照组，差异具有统计学意义（23.94，P0.04）；视察组患者满足度高于比照组，且差异均具有统计学意义（24.06，P0.04）；术后自理实力复原率高于比照组，差异有统计学意义（26.06，P0.01）；视察组患者并发症发生率明显低于比照组，差异有统计学意义（25.09，P0.02）。 结论 临床护理路径在宫颈癌术后护理效果明显，提高了患者满足率，有助于患者术后自理实力复原，降低了术后并发症发生率，值得在临床推广。 [关键词] 临床护理路径；宫颈癌；宫颈癌根治术；术后并发症 [中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）12-0157-04 2 [Abstract] Objective To observe the effect and influence of post-operation clinical nursing pathway in patients with cervical cancer. s 88 patients with cervical cancer receiving radical surgery in our hospital from August 2015 to July 2016 were selected and divided into control group and observation group according to the random number table， with 44 cases in each group. Patients in the control group were given routine nursing， while those in the observation group were given established nursing guided by clinical nursing pathway. The awareness of healthy knowledge， nursing satisfaction ， incidence rate of complications， and self-care ability were compared between two groups. Results The awareness of healthy knowledge was significantly higher in the observation group than in the control group， and the difference was statistically significant（23.94， P0.04）. The nursing satisfaction was significantly higher in the observation group than in the control group， and the difference was statistically significant（24.06， P0.04）. The self-care ability after operation was significantly higher in the observation group than in 3 the control group ， and the difference was statistically significant（26.06， P0.01）. The incidence rate of complications was significantly lower in the observation group than in the control group ， and the difference was statistically significant （ 25.09 ， P0.02 ） . Conclusion Post-operation clinical nursing pathway has evident effect in patients with cervical cancer， which can improve the satisfaction of patients ， promote self-care ability of patients after operation， and reduce the incidence rate of complications， thus is worthy to be promoted. [Key words] Clinical nursing pathway；Cervical cancer ； Radical hysterectomy ； Postoperation complications 子�m 颈癌（cervical cancer，CC），习称宫颈癌，为发病率最高的妇科恶性肿瘤之一[1]。 人乳头瘤病毒（human papillomavirus，HPV）感染是本病最常见的致病因素，性行为及分娩次数过多亦为本病高危因素。 本病好发于中老年女性，高发年龄段为 50～55 岁。 有文献报道，宫颈癌最常见的组织学类型为鳞状细胞浸润癌 70～75，腺癌亦较多见15～20，腺鳞癌等较少见[2]。 宫颈癌的诊断遵循三阶4 梯程序，即子宫颈细胞学检查和/或高危型 HPV-DNA 检测阴道镜检查子宫颈活检的三部曲，病理活检为本病诊断的金标准[3-4]。 宫颈癌根治术主要用于治疗早期子宫颈癌患者，对于有生育要求的患者可保留卵巢及阴道功能，缺点在于须切除全部子宫，严峻影响患者术后生活质量。 临床护理路径（clinical nursing path，CNP）是依据患者所患疾病的诊断和治疗而制定的在其住院期间采纳的一种新型治疗护理模式，特点是以患者为宗旨，追求高品质、高效率、低费用[5，6]。 有文献报道，临床护理路径的医疗资源投入低于常规护理，并能有效提高医疗护理服务质量。 本探讨比较两种护理模式在宫颈癌术后的应用效果，旨在为临床护理指导。