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Effect of clinical pathway nursing on the postoperative nutritional status-related complications and quality of life of patients with cholenterostomy |
KANG Wei1 LIANG Ting2 LI Hui3 HE Liyun1 |
1.Operating Room, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China;
2.Department of Pediatric General Surgery, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China; 3.the Second Department of Cadre Ward, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China |
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Abstract Objective To explore the effect of clinical pathway nursing on the postoperative nutritional status-related complications and quality of life in patients with cholenterostomy. Methods From April 2015 to April 2017, in the First Affiliated Hospital of Xinjiang Medical University, 70 patients with cholenterostomy were selected. By random number table method, they were divided into control group and observation group, with 35 cases in each group. The control group was given operating routine nursing care, observation group was given the clinical pathway nursing, postoperative nutritional status-related complications and quality of life in two groups were compared. Results The rate of gastrointestinal tract reaction, metabolic complications (including hyperglycemia reaction, hypoglycemia reaction), abnormal liver function in observation group were lower than those in control group, the differences were statistically significant (P < 0.05). After operation, the body function, psychological function, social function and material life grade rise in two groups were higher than those before operation, which in observation group were higher than those in control group, the differences were statistically significant (P < 0.05). Conclusion The clinical pathway nursing is more conducive to decrease the rate of postoperative nutritional status-related complications of patients with cholenterostomy and improve the quality of life after surgery.
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