Effects of clinical nursing pathway on patients with intranasal endoscopic cerebrospinal fluid rhinorrhea repair surgery

Abstract

Objective To explore the effects of clinical nursing pathway on patients with intranasal endoscopic cerebrospinal fluid rhinorrhea repair surgery.Methods Totals of 69 patients received the implementation of the repair of cerebrospinal fluid rhinorrhea were recruited and randomly divided into intervention group (n =35) and control group (n =34).Control group received traditional preoperative visits and intraoperative coordination,traditional preoperative visits,while intervention group received clinical nursing pathway including preoperative interview pathway,operation day support pathway,and postoperative interview Pathway.Then,anxiety,surgical start time,blood loss,anesthesia recovery time and recovery period of anesthesia complications and patients' satisfaction were observed and compared.Results The SAS score of intervention group in one day before operation and before anesthesia was (46.38 ± 4.77),(49.86 ± 5.59),respectively,lower than that of control group [(50.76 ± 5.81),(53.99 ± 6.59)],and the difference was statistically significant (P ＜ 0.01).After the intervention,blood loss [(199.64 ± 46.72) vs (240.67 ±58.68) ml],anesthesia recovery time [(26.10 ± 5.09) vs (34.50 ± 6.76) min],hospital stay [(20.42 ±2.73) vs (24.61 ± 3.63) d],patients' satisfaction points [(4.56 ± 0.47) vs (3.07 ± 0.52)] in intervention group were significantly lower than that in control group (t =14.152,3.138,3.020,6.056,11.881,respectively;P ＜ 0.01).Conclusions Patients with cerebrospinal fluid rhinorrhea repair treat with surgery clinical care path,can effectively relieve the patient's preoperative anxiety,reduce anesthesia recovery time,blood loss and anesthesia recovery complications and improve the therapeutic effect of perioperative and the patient satisfaction. Key words: Clinical pathway; Endoscopy; Cerebrospinal fluid rhinorrhea; Intraoperative period ; Nursing intervention