Objective: To explore the application effect of clinical nursing pathway (CNP) in the perioperative period of labial glands biopsy for patients with Sj？gren’s syndrome. Methods: A total of 150 inpatients with Sj？gren’s syndrome who underwent labial gland biopsy in the Department of Rheumatology and Immunology of a tertiary hospital in Jingzhou City from May 2022 to April 2024 were selected by convenience sampling. Among them, 75 patients from May 2022 to April 2023 were assigned to the control group, and 75 patients from May 2023 to April 2024 were assigned to the observation group. The control group received routine care, while the observation group was intervened with the clinical nursing pathway on the basis of the control group. The incidence of postoperative adverse reactions, pain degree, and wound healing time were compared between the two groups. Results: The implementation of perioperative management of labial glands biopsy according to the clinical pathway showed statistically significant differences after intervention (P < 0.05). Conclusion: The construction and implementation of the clinical nursing pathway table for the perioperative period of labial glands biopsy in patients with Sj？gren’s syndrome can reduce the incidence of postoperative wound adverse reactions, alleviate the pain degree of patients, shorten the wound healing time, and improve patient satisfaction.
References
[1]
Baldini, C., Fulvio, G., La Rocca, G. and Ferro, F. (2024) Update on the Pathophysiology and Treatment of Primary Sjögren Syndrome. Nature Reviews Rheumatology, 20, 473-491. https://doi.org/10.1038/s41584-024-01135-3
[2]
Łuczak, A., Małecki, R., Kulus, M., Madej, M., Szahidewicz-Krupska, E. and Doroszko, A. (2021) Cardiovascular Risk and Endothelial Dysfunction in Primary Sjogren Syndrome Is Related to the Disease Activity. Nutrients, 13, Article 2072. https://doi.org/10.3390/nu13062072
[3]
Zhang, W., Li, S., Xu, D., et al. (2020) Diagnostic and Therapeutic Standardization of Primary Sjögren’s Syndrome. Chinese Journal of Internal Medicine, 59, 269-276.
[4]
Zhao, J.Y., Huang, S.T., Li, Q., et al. (2019) Application of Minimally Invasive Lip Minor Salivary Gland Biopsy Technique in the Diagnosis of Sjögren’s Syndrome. Sichuan Medicine, 40, 711-714.
[5]
Choudhry, H.S., Hosseini, S., Choudhry, H.S., Fatahzadeh, M., Khianey, R. and Dastjerdi, M.H. (2022) Updates in Diagnostics, Treatments, and Correlations between Oral and Ocular Manifestations of Sjogren’s Syndrome. The Ocular Surface, 26, 75-87. https://doi.org/10.1016/j.jtos.2022.08.001
[6]
Sun, X.M., Yang, Q.Z. and Liu, T.T. (2020) Perioperative Nursing Management of Labial Glands Biopsy in Outpatients with Sjögren’s Syndrome. Southwest Defense Medicine, 30, 236-237.
[7]
Li, X., Li, T., Chen, J., et al. (2023) Effect of Sodium Bicarbonate Combined with Rehabilitation New Liquid on the Prognosis of Labial Glands Biopsy Wound. Shanxi Medical Journal, 52, 1188-1191.
[8]
Pang, W.Q., Song, G.J. and Sun, Y.P. (2023) Visual Analysis of the Current Status and Trend of Clinical Nursing Pathway Research. Nursing Practice and Research, 20, 1023-1029.
[9]
Yang, S.J. (2021) Evaluation of the Construction and Application Effect of Clinical Nursing Pathway for Patients with Acute Myocardial Infarction Based on Action Research Method. Nursing Research, 35, 4265-4269
[10]
Hao, C.D. (2022) Effects of Clinical Nursing Pathway Model Intervention on Negative Emotions and Self-Efficacy of Patients with Permanent Colostomy. China Anal and Intestinal Disease Journal, 42, 65-66.
[11]
Li, J.J., Lin, W., Niu, N.N., et al. (2024) New Techniques for Evaluating Exocrine Glands in Primary Sjögren's Syndrome. Chinese Journal of Clinical Immunology and Allergy, 18, 68-73.
[12]
Jia, Y., Yao, P., Li, J., Wei, X., Liu, X., Wu, H., et al. (2023) Causal Associations of Sjögren’s Syndrome with Cancers: A Two-Sample Mendelian Randomization Study. Arthritis Research & Therapy, 25, Article 171. https://doi.org/10.1186/s13075-023-03157-w
[13]
Wang, C.Q. and Dong, L.L. (2016) Application and Value of Lip Gland Biopsy in Sjögren’s Syndrome. Journal of Internal Medicine Emergency and Critical Care, 22, 101-106.
[14]
Zhao, F.T., Zhou, Z.T., Shen, X.M., et al. (2019) Multidisciplinary Diagnosis and Treatment Recommendations for Primary Sjögren’s Syndrome. Geriatric Medicine and Health Care, 25, 7-10, 20.
[15]
Wang, C.Q. and Dong, L.L. (2016) Application and Value of Lip Gland Biopsy in Dry Syndrome. Journal of Emergency and Critical Care in Internal Medicine, 22, 101-106.
