Implementation and effect of clinical nursing pathways in the laparoscopic Miles surgery for rectal cancer
10.3760/cma.j.issn.1674-2907.2011.07.019
- VernacularTitle:直肠癌腹腔镜下Miles手术期临床护理路径的实施及效果
- Author:
Yong-Ju WANG
1
;
Huan-Xin GAO
Author Information
1. 湖北省仙桃市第一人民医院
- Keywords:
Rectal cancer;
Laparoscopic Miles surgery;
Clinical nursing pathways;
Quality of life
- From:
Chinese Journal of Modern Nursing
2011;17(7):793-796
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of clinical nursing pathways on the postoperative efficacy and quality of life of laparoscopic Miles surgery for rectal cancer.Methods 60 cases of lower rectal cancer patients received laparoscopic Miles surgery from Jan 2005 to Jan 2008 were given clinical nursing pathway and common nursing treatment.Clinical curative effect and quality of life were evaluated and compared.Results The satisfactory ratio,average hospitalization time and average expense of hospitalization were(95.0±0.4)%,(14.5 ±1.2)days and(28 156.0±572.5)yuan respectively,while they were(75.0±2.6)%,(16.5±1.3)days and(34 245.0±785.6)yuan in the control group.The differences between the two groups were statistically significant(P<0.05).The observation group were lower than control group in aspects of postoperative complications and time of colostomy accepting and nursing(P<0.05).The preoperative qualities of life had no difference between the two groups(P>0.05),but observation group had higher postoperative quality of life (P<0.05).Conclusions Clinical nursing pathway could significantly reduce hospitalization day and fees,postoperative complications improve the quality of life and satisfactory ratio for rectal cancer patients accepted laparoscopic Miles surgery.It may be the best nursing choice for laparoscopic Miles surgery.
