Effect of optimized clinical nursing pathway on postoperative recovery efficiency and physiological stress of patients with ovarian cancer
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摘要: 目的 探讨优化临床护理路径对卵巢癌患者术后康复效果及生理应激的影响。 方法 选取本科室2018年7—12月收治的42例卵巢癌手术患者为对照组,围术期采用常规护理。选取本科室2019年1—6月收治的43例卵巢癌手术患者为观察组,围术期采用临床护理路径。比较2组患者术后的康复效果及生理应激的情况。 结果 观察组术后首次排气时间、首次排便时间、下床活动时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,但差异无统计学意义(P>0.05)。观察组术后48 h的皮质醇(Cor)、C反应蛋白(CRP)、空腹血糖(Glu)水平均低于对照组,差异有统计学意义(P<0.05)。 结论 优化临床护理路径能够减轻卵巢癌手术患者的生理应激反应,缩短康复时间,提高康复效果。Abstract: Objective To explore the effect of optimized clinical nursing path on the postoperative recovery efficiency and physiological stress of patients with ovarian cancer. Methods Totally 42 ovarian cancer patients admitted to our department from July to December 2018 were selected as control group, and were treated with routine nursing during the perioperative period. Another 43 ovarian cancer patients admitted to our department from January to June 2019 were selected as observation group, and were treated with clinical nursing pathway. The rehabilitation effect and physiological stress were compared between the two groups. Results The first time to exhaustion after operation, first time to defecation after operation, time of getting out of bed and postoper ative hospital stay in the observation group were significantly shorter than those in the control group(P<0.05). The incidence rate of postoperative complications in the observation group was lower than that in the control group, but no significant difference was found between two groups(P>0.05). The levels of cortisol(Cor), C reactive protein(CRP)and fasting blood glucose(Glu)in the observation group were significantly lower than those in the control group at 48 hours after operation(P<0.05). Conclusion Optimized clinical nursing pathway can reduce the physiological stress response of patients with ovarian cancer surgery, shorten the rehabilitation time and improve the rehabilitation efficiency.
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