我国临床护理路径在宫颈癌手术患者中应用的效果分析

姚玉慧

[摘要] 目的 我國临床护理路径在宫颈癌手术患者中应用的效果分析。方法 方便选取2018年3月—2019年3月该院的84例宫颈癌手术患者作为研究对象，根据入院顺序将患者分为研究组和对照组，对照组患者给予常规护理干预，研究组患者给予临床护理路径干预，干预后评价护理效果、不良反应发生率及患者心理状况。结果 护理效果：研究组住院时间（10.68±4.25）d及消耗费用（6 867.98±108.89）元相较对照组明显偏低，差异有统计学意义（t=4.781、4.430，P<0.05）。不良反应发生率：研究组不良反应发生率4.76%相较对照组26.19%明显偏低（χ2=7.370，P=0.000）。心理状况：干预前，研究组患者心理状况相较对照组差异无统计学意义（P>0.05）;干预后，研究组心理状况（21.13±2.84）分、（21.32±2.63）分明显优于对照组，差异有统计学意义（t=5.010、3.780，P<0.05）。结论 我国临床护理路径在宫颈癌手术患者中具有显著的护理价值，既能缩短患者住院时间，减少患者消耗费用，又能降低不良反应发生率，改善患者心理状况。

[关键词] 临床护理路径;宫颈癌手术;护理效果;不良反应;心理状况

[Abstract] Objective To analyze the effect of clinical nursing pathway in China on patients with cervical cancer surgery. Methods From March 2018 to March 2019， 84 patients with convenient selection cervical cancer who came to the hospital during this period were taken as the research object. The patients were divided into study group and control group according to the order of admission. The control group patients were given routine nursing intervention. Patients in the study group were given clinical nursing pathway intervention， and the nursing effect， incidence of adverse reactions， and psychological status of patients were evaluated after the intervention. Results Nursing effect： The length of hospital stay （10.68±4.25）d and expenditure （6 867.98 ± 108.89） yuan in the study group were significantly lower than those in the control group， the difference was statistically significant （t=4.781，4.430，P<0.05）. Incidence of adverse reactions： the incidence of adverse reactions in the study group was 4.76%， which was significantly lower than that in the control group 26.19%（χ2=7.370，P=0.000）. Psychological status： Before the intervention， there was no statistically significant difference in the psychological status of the patients in the study group compared with the control group （P>0.05）. After the intervention， the psychological status of the study group （21.13 ± 2.84）points， （21.32 ± 2.63）points was significantly better than the control group， the difference was statistically significant （t=5.010，3.780，P<0.05）. Conclusion The clinical nursing pathway in China has significant nursing value in patients with cervical cancer surgery. It can shorten the length of hospital stay， reduce the cost of patients， reduce the incidence of adverse reactions， and improve the psychological status of patients.

[Key words] Clinical nursing pathway; Cervical cancer surgery; Nursing effect; Adverse reactions; Psychological status

宫颈癌属于临床常见的恶性肿瘤疾病，该病多发于33～56岁的女性人群，近几年，随着生活方式的改变，女性生活压力也随之增加，造成该病发病率呈逐年攀升趋势[1-2]。临床指出，由于该病为恶性肿瘤，因此患者发病初期，临床症状并不明显，导致多数患者发现时，已为疾病晚期，不但严重影响患者生活质量，还会危及患者生命健康。目前，临床常采用手术方式对其治疗，由于手术具有侵入性，且患者术后并发症较多，因此，手术期间给予患者护理干预具有重要意义。故该次研究将2018年3月—2019年3月来该院的84例宫颈癌手术患者作为研究对象，对患者分别采用常规护理及临床护理路径干预后，对护理效果、不良反应发生率及患者心理状况进行评价，现报道如下。

1  资料与方法

1.1  一般资料

方便选取来该院的84例宫颈癌手术患者作为研究对象，按照入院先后顺序，将其分为两组，即研究组（n=42）与对照组（n=42）。……