Exploration of the application of clinical nursing pathway in patients undergoing acute appendicitis surgery
临床护理路径在急性阑尾炎手术患者中的应用探讨

摘要

目的 研究对急性阑尾炎手术患者实施临床护理路径的有效价值。方法 选取2022年1月-2022年6月时间内受诊的急性阑尾炎手术患者88例进行医学观察，基于数字表法划分两组，包含临床指导组、一般指导组，统计两组患者手术干预情况和疼痛感。结果 临床指导组肠鸣音改善所需时间均值（11.35±3.40）h、首次排气平均时间（21.06±4.52）h、应用抗生素平均时间（2.83±0.46）d、首次下床活动平均时间（2.30±0.42）d、入院治疗所需时间（4.59±0.63）d，均较一般指导组优，p<0.05；干预后，临床指导组患者疼痛感、生活质量和自护能力评分均优于一般指导组，p<0.05。结论 急性阑尾炎手术患者的干预中，要选取临床护理路径，全方位促进患者预后，降低患者疼痛感，加强患者自护能力，可以推广。

Abstract

Objective To study the effective value of implementing clinical nursing pathways for patients undergoing acute appendicitis surgery.
Methods 88 patients with acute appendicitis who underwent surgery between January 2021 and June 2022 were selected for medical observation. Based on the digital table method, they were divided into two groups, including the clinical guidance group and the general guidance group. The surgical intervention and pain sensation of the two groups of patients were statistically analyzed.
Results The average time required for improvement of bowel sounds in the clinical guidance group was (11.35 ± 3.40) hours, the average time for first exhaust was (21.06 ± 4.52) hours, the average time for antibiotic application was (2.83 ± 0.46) days, the average time for first out of bed activity was (2.30 ± 0.42) days, and the time required for hospitalization was (4.59 ± 0.63) days, all of which were better than those in the general guidance group (p<0.05); After intervention, the clinical guidance group had better pain, quality of life, and self-care ability scores than the general guidance group, with a p-value of 0.05.
Conclusion   In the intervention of patients undergoing acute appendicitis surgery, clinical nursing pathways should be selected to comprehensively promote patient prognosis, reduce patient pain, and strengthen patient self-care ability, which can be promoted.