| 杨孝苹,秦欢,姚寒,王晓倩.快速康复护理临床路径联合二维码在胸腔镜肺癌患者围手术期中的应用[J].中国临床保健杂志,2020,23(2):256-259. |
| 快速康复护理临床路径联合二维码在胸腔镜肺癌患者围手术期中的应用 |
| Application of rapid rehabilitation nursing clinical pathway combined with qr code in perioperative period of thoracoscopic lung cancer patients |
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| DOI：10.3969/J.issn.1672-6790.2020.02.029 |
| 中文关键词: 围手术期医护 康复护理 肺肿瘤 信息传播 临床路径 |
| 英文关键词: Perioperative care Rehabilitation nursing Lung NEoplasms Information dissemination Critical pathways 〖FL |
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| 中文摘要: |
| 目的 探讨快速康复护理临床路径(FTS-CNP)联合二维码在胸腔镜肺癌围手术期中的应用效果。方法 选择入住胸外科行胸腔镜肺癌根治术患者124例为研究对象,按入院时间顺序编号采用随机数字表法,将其分为对照组和观察组,其中对照组采用胸外科护理常规护理方法；观察组制定快速康复护理路径,根据护理路径内容拍摄小视频并生成二维码,制定护理流程卡悬挂于患者床尾,内容包括麻醉、液体控制、镇痛、饮食、早期下床活动等。比较两组患者在术后拔管时间、睡眠质量、术后3天疼痛分值、住院费用、住院时间、并发症发生率、患者满意度的差异。结果 观察组术后拔管时间、术后3天疼痛分值、匹茨堡睡眠质量指数、住院费用、住院时间、并发症发生率均低于对照组,患者满意度调查高于对照组,差异有统计学意义(P＜0.05)。结论 FTS-CNP联合二维码护理可加快患者术后恢复速度,缩短住院时间,减少住院费用,同时提高护理质量。 |
| 英文摘要: |
| Objective To investigate the effect of fast-track rehabilitation nursing pathway(fts-cnp) combined with qr code during thoracoscopic pulmonary perioperative period.Methods A total of 124 patients admitted to a tumor hospitalfor thoracoscopic radical resection of lung cancer were selected as the study objects.They were randomly divided into two groups according to the time sequence of admission and numbered by the random number table method.The observation group developed the nursing path for rapid rehabilitation,shot a short video and generated a qr code,and made a nursing process card suspended at the end of the bed,including anesthesia,fluid control,analgesia,diet,early out-of-bed activities,etc.The differences in postoperative extubation time,sleep quality,postoperative 3-day pain score,hospital expenses,hospital stay,complication rate and patient satisfaction between the two groups were compared.Results In the observation group,postoperative extubation time,postoperative pain score 3 days,Pittsburgh sleep quality index,hospital expenses,hospital stay,complication rate were lower than those in the control group,and the patient satisfaction survey was higher than the control group,with statistically significant differences (P<0.05).Conclusion Fts-cnp combined with two-dimensional code nursing can accelerate the postoperative recovery speed,shorten the hospital stay,reduce the cost of hospitalization,and improve the quality of nursing. |
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