引用本文:徐亚香,方方,李琴,苏艳霞.[cn_title][J].[journal_cn_name],2018,[volume]([issue]):47-49.[点击复制]
XU Yaxiang,FANG Fang,LI Qin,SU Yanxia.[en_title][J].[journal_en_name],2018,[volume]([issue]):47-49.[点击复制]
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腹腔镜联合内镜治疗胃间质瘤的护理路径研究
徐亚香,方方,李琴,苏艳霞
0
(扬州大学医学院附属医院(苏北人民医院);扬州大学临床医学院 胃肠外科)
摘要:
目的:探讨临床护理路径方法在腹腔镜与内镜的双镜联合技术治疗胃肠道间质瘤(gastrointestinal stromal tumor,GIST)患者的应用效果。 方法:将我院自2016年1月-2016年12月收治的66例行腹腔镜联合胃镜技术治疗胃肠道间质瘤患者分为临床护理路径组(36例)和传统护理组(30例),制定GIST临床护理路径。临床护理路径组采用GIST临床护理路径专业护理,传统组采用常规护理方法。观察两组在住院天数、并发症发生情况、护理质量评估等方面的情况。 结果:临床护理路径组平均住院天数为(5.62±1.49)天,显著低于传统护理组(7.04±1.38)天,临床路径组患者及家属的满意度为(98.9±1.2),传统护理组的满意度为(92.1±1.9),差异具有统计学意义。 结论:护理路径表在内镜治疗中的应用效果显著,能有效降低患者住院天数,减少腹腔镜联合内镜对胃肠道间质瘤切除术后并发症,减轻患者痛苦,提高护理质量,对患者的康复具有重要意义。
关键词:  腹腔镜  内镜  胃间质瘤  护理路径
DOI:10.3969/j.issn.2096-510X.2018.01.012
基金项目:
Nursing pathway of laparoscopic and endoscopic cooperative surgery in gastric stromal tumor operation
XU Yaxiang,FANG Fang,LI Qin,SU Yanxia
(Department of Gastrointestinal Surgery,Subei People's Hospital)
Abstract:
Objective To explore the effect of clinical nursing pathways in the treatment of laparoscopy and endoscopy cooperative surgery for treating gastric stromal tumor. Methods Analyzed the dates of 66 patients with gastric stromal tumor treated by laparoscopy and endoscopy cooperative surgery among 2016. GIST clinical nursing pathway was established firstly. The 66 samples were divided into clinical nursing pathway group (36 cases) and traditional nursing group (30 cases) to compare the difference between the average hospitalization days,the occurrence of complications,medical and nursing quality. The preoperative psychological nursing and the targeted preparation were done. Results No complications such as bleeding, perforation and infection occurred in 36 patients. The average length of hospital stay was 5.62±1.49 days, which were much better than the traditional nursing group of 7.04±1.38 days. the patients’ satisfaction98.9±1.2score,which was significantly improved than the traditional nursing group 92.1±1.9. Conclusion Good perioperative nursing and fast recovery nursing can reduce the complications of laparoscopy and endoscopy cooperative surgery for gastric stromal tumor resection, reduce the pain of patients, and it has important significance for the rehabilitation of patients.
Key words:  Laparoscopic  Endoscopic  Gastric stromal tumor  Nursing pathway

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