Application effect of the clinical nursing path on the elderly appendicitis patients with the laparoscopic resection

Objective To explore application effects of the clinical nursing path and the conventional nursing on the elderly appendicitis patients with the laparoscopic resection. Methods Seventy-six elderly appendicitis patients who performed the laparoscopic resection in Tengzhou Hospital of Traditional Chinese Medicine in Shandong province from July of 2014 to July of 2015 were selected using the convenience sampling method and randomly divided into the observation group (n=38) and the control group (n=38). The patients in the observation group were cared according to the clinical nursing path, while the patients in the control group were given the conventional nursing. The complication incidence rate, the length of stay, the satisfactory degree of patients were compared between the two groups. The state of mind of patients in the two groups was evaluated using hamilton anxiety scale (HAMA) and hamilton depression scale (HAMD) after nursing. Results No complications occurred in the observation group, which was significantly different from the complication incidence rate of the control group(10.53%) (P<0.05). In the observation group the length of stay and the hospitalization expense were (5.56±3.28) days and (2 537±645)RMB respectively, while in the control group the length of stay and the hospitalization expense were (9.24±1.34) days and (4 378±264) RMB respectively. The differences were significant (P<0.05). In the observation group the scores of HAMD and HAMA were (10.01±2.34) and (7.53±1.16) respectively, while in the control group the scores of HAMD and HAMA were (15.79±5.12) and (12.90±4.21) respectively. The differences were significant (P<0.05). The nursing satisfaction degree of the patients in the observation group was 94.74%, which was significantly different from that in the control group (78.95%)(P<0.05). Conclusions The application of the clinical nursing path in the elderly appendicitis patients with the laparoscopic resection helps to reduce the incidence rate of postoperative complications and improve patients′ nursing satisfaction degree. Key words: Appendicitis; Laparoscopic resection; Clinical nursing path