[Application of clinical nursing pathway in fast-track program of splenomegaly advanced schistosomiasis patients]

To evaluate the effect of clinical nursing pathway in fast-track program (FTS-CNP) in splenomegaly advanced schistosomiasis patients during the perioperative period.

A total of 80 patients with splenomegaly advanced schistosomiasis who were treated with selective operation in the Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases from January, 2012 to December, 2014 were divided into an observation group (n = 40) and a control group (n = 40). FTS-CNP was implemented in the observation group, while the routine nursing was used in the control group. Then the physical rehabilitation and psychological health levels of the patients in the two groups post-operation were observed and compared.

After the operation, the duration of first taking food [(14.67 ± 2.90) h], first anus exhausting [(25.30 ± 3.46) h], first off-bed activity [ (29.40 ± 5.57) h], as well as the duration of hospital stays [(19.00 ± 2.82) d] of patients in the observation group were all shorter than those of the patients in the control group [(44.50 ± 6.71) h, (52.80 ± 6.95) h, (35.05 ± 10.37) h, (25.08 ± 2.39) d, respectively] , and the incidence rate of postoperative complications (7.50%) of the former was lower than that of the latter (25.00%), and all the differences were statistically significant (all P < 0.05). Both the scores of SAS (41.22 ± 5.60) and SDS (40.28 ± 6.67) of the patients in the observation group were lower than those of the patients in the control group (46.89 8.92, 47.06 ± 10.29), both differences were statistically significant (both P < 0.01).

FTS-CNP can promote the physical and psychological recovery of the splenomegaly advanced schistosomiasis patients post-operation, and also can shorten the hospitals stays and reduce the complications.