临床与病理杂志2023，Vol.43Issue(10)：1822-1829,8.DOI:10.11817/j.issn.2095-6959.2023.220099
基于奥马哈系统的临床护理路径在机器人辅助肾部分切除术患者管理中的应用
Application of clinical nursing pathway based on the Omaha system in the management of patients undergoing robot-assisted partial nephrectomy
摘要
Abstract
Objective:To explore the application effect of the clinical nursing pathway based on the Omaha system in the management of patients undergoing robot-assisted partial nephrectomy. Methods:This study was a quasi-experimental study.A total of 120 patients undergoing robot-assisted partial nephrectomy in the Department of Urology,the First Affiliated Hospital of Guangxi Medical University from January 2020 to March 2023 were conveniently selected as the study objects.Sixty patients from January 2020 to June 2021 were assigned to a control group,and 60 patients from July 2021 to March 2023 were assigned to the observation group.The control group received routine nursing,while the observation group implemented clinical nursing pathways based on the Omaha system.The postoperative intestinal function recovery time,postoperative 72 h retroperitoneal drainage,postoperative hospital stays,serum creatinine at 14 d after surgery,and the incidence of severe bleeding requiring surgery or intervention within 30 d after the surgery were compared between the 2 groups. Results:After the intervention,the recovery time of intestinal function in the observation group was significantly shorter than that in the control group(P<0.05).There was no significant difference in the total drainage volume 72 h postoperatively between the observation group and the control group(P>0.05).The postoperative hospitalization time in the control group was significantly longer than that in the observation group(P<0.05). Conclusion:The clinical nursing pathway based on the Omaha system is beneficial for shortening intestinal function recovery and hospital stay in patients undergoing robot-assisted partial nephrectomy.It promotes the recovery of patients and is worthy of clinical promotion.关键词
机器人辅助肾部分切除术/肾癌/临床护理路径/奥马哈系统Key words
robotic-assisted partial nephrectomy/renal cancer/clinical nursing pathway/Omaha system引用本文复制引用
马坤炎,梁伟霞,郑园园..基于奥马哈系统的临床护理路径在机器人辅助肾部分切除术患者管理中的应用[J].临床与病理杂志,2023,43(10):1822-1829,8.基金项目
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20180892).This work was supported by the Self-funded Research Project of Guangxi Health Commission,China(Z20180892). （Z20180892）
