Application of clinical nursing pathway standardized management in children with primary vesicoureteral reflux undergoing Politano-Leadbetter operation
10.3760/cma.j.cn115682-20190918-03395
- VernacularTitle:临床护理路径标准化管理在原发性膀胱输尿管反流行Politano-Leadbetter术患儿中的应用
- Author:
Li GOU
1
;
Xiujuan DOU
;
Jiali WEI
;
Yuan YANG
;
Yi LI
;
Junxian WANG
Author Information
1. 郑州大学第一附属医院小儿外科，郑州 450052
- Keywords:
Child;
Clinical nursing pathway;
Standardized management;
Politano-Leadbetter operation;
Primary vesicoureteral reflux
- From:
Chinese Journal of Modern Nursing
2020;26(24):3360-3364
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of clinical nursing pathway (CNP) standardized management in children with primary vesicoureteral reflux (VUR) undergoning Politano-Leadbetter operation for.Methods:From January 2016 to December 2018, we selected 69 children with VUR from the First Affiliated Hospital of Zhengzhou University. Children all underwent modified Politano-Leadbetter operation and were divided into CNP group ( n=39) and control group ( n=30) with the method of random number table. Control group carried out routine clinical nursing management, while CNP group implemented CNP standardized management. We compared the general operation situation, hospitalization, improvement of reflux level and incidence of postoperative complications among children between two groups. Results:There were no intestinal and important vascular injury events during operation in both groups, and there was no significant difference in the operation time, intraoperative blood loss and postoperative hematuria duration between the two groups ( P>0.05) . However, the length of hospitalization, hospitalization costs and incidence of postoperative complications in CNP group were lower than those in control group; the improvement rate of reflux of CNP group was higher than that of control group; the differences were statistically significant ( P<0.05) . Conclusions:For VUR children with Politano-Leadbetter operation, CNP standardized management is more conducive to postoperative recovery of children than routine nursing management, and it can obtain better therapeutic benefits and reduce the risk of postoperative complications to a certain extent.
