Effects of integrated clinical pathway model on gastrointestinal function and complications in patients after pancreaticoduodenectomy
10.3760/cma.j.cn115682-20201109-06121
- VernacularTitle:一体化临床路径模式对胰十二指肠切除术后患者胃肠道功能及并发症的影响
- Author:
Chunli LIU
1
;
Fengli DIAN
;
Junjie XIA
;
Juan LIU
;
Xuemei WANG
Author Information
1. 郑州大学第一附属医院肝胆胰外二科，郑州 450000
- Keywords:
Pancreaticoduodenectomy;
Postoperative complication;
Gastrointestinal function;
Integrated clinical pathway
- From:
Chinese Journal of Modern Nursing
2021;27(21):2901-2905
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of an integrated clinical pathway model on the gastrointestinal function and complications in patients after pancreaticoduodenectomy (PD) .Methods:Totally 95 patients after PD admitted to the First Affiliated Hospital of Zhengzhou University from March 2018 to March 2020 were selected and divided into a control group (41 cases) and an observation group (54 cases) . Patients in the control group received routine clinical care pathway, while patients in the observation group received integrated clinical pathway. The indicators for postoperative gastrointestinal function recovery (postoperative bowel sound recovery, time of anal exhaust time, first time of defecation) , pancreatic fistula and other complications were compared between the two groups.Results:The postoperative bowel sound recovery time, time of anal exhaust, and first time of defecation in the observation group were shorter than those in the control group, and the differences were statistically significant ( P< 0.05) ; 10 patients in the observation group developed postoperative complications, accounting for an incidence rate of 18.52%, which was lower than 70.73% (29/41) in the control group, with statistically significant difference ( P< 0.05) . Conclusions:The postoperative gastrointestinal function of patients after PD who receive the integrated clinical pathway model recovers better and postoperative complications are reduced.
