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目的探讨临床护理路径在经皮椎间孔镜手术围术期的应用效果。方法将经皮椎间孔镜手术治疗的患者108例随机分为试验组与对照组各54例。试验组采用临床护理路径模式,对照组采用传统的临床护理模式。对2组患者的住院时间、住院费用、患者满意度、患者健康知识知晓率和功能锻炼达标率进行评估。结果试验组住院天数短于对照组,住院费用少于对照组,差异有统计学意义(P<0.05)。试验组患者的满意度为96.3%高于对照组的88.9%,健康知识知晓率为94.4%高于对照组的87.0%,功能锻炼达标率为96.3%高于对照组的87.0%,差异均有统计学意义(P<0.05)。结论将临床护理路径应用于经皮椎间孔镜手术患者不但能加快患者康复,也有利于护理行为的规范和护理质量的提高,值得临床应用推广。
Objective To investigate the clinical effect of clinical nursing pathway in perioperative period of percutaneous transforaminal endoscopic microsurgery. Methods 108 cases of percutaneous transforaminal endoscopic surgery were randomly divided into experimental group and control group of 54 cases. The experimental group adopted the clinical nursing path model, while the control group adopted the traditional clinical nursing model. The length of hospital stay, hospitalization expenses, patient satisfaction, awareness of patient health knowledge and compliance rate of functional exercise were evaluated in two groups of patients. Results The length of stay in the experimental group was shorter than that in the control group, and the hospitalization expense was less than that in the control group (P <0.05). The satisfaction rate of patients in test group was 96.3% higher than 88.9% of control group, the awareness rate of health knowledge was 94.4% higher than 87.0% of control group, the compliance rate of functional exercise was 96.3%, which was 87.0% higher than that of control group Statistical significance (P <0.05). Conclusion The application of clinical nursing pathway in percutaneous transforaminal endoscopic surgery patients not only can speed up the rehabilitation of patients, but also conducive to the norms of nursing behavior and nursing quality improvement, it is worth promoting the clinical application.