中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
27期
3272-3274
,共3页
临床路径%自体造血干细胞移植%术前准备
臨床路徑%自體造血榦細胞移植%術前準備
림상로경%자체조혈간세포이식%술전준비
Clinical pathway%Autologous stem cell transplantation%Preoperative preparation
目的 探讨自体血造血干细胞移植术前准备中实施临床路径的效果。方法 将30例拟行自体造血干细胞移植患者随机分为临床路径组和传统组，各15例。临床路径组术前准备实施临床路径方法，传统组术前准备采用传统法。比较两组患者住院时间、住院费用、健康知识掌握情况、满意度、抑郁及焦虑情况。结果 临床路径组患者住院总费用为( 100 972±261)元，低于传统组(126 374±306)元，差异有统计学意义（t =4.48,P＜0.05）；临床路径组患者健康知识掌握优良率为93.3％、满意度为86.6％，均高于传统组46.6％，33.3％(x2=9.3，8.7;P ＜0.05)；术前准备时间、移植后心理并发症也低于传统组(P＜0.05)。结论 临床路径为整体护理提供了更有效的指导，在自体造血造血干细胞移植术前准备中实施临床路径，可以提高患者满意度、缩短术前准备时间、节省住院费用、减少并发症、提高护理质量。
目的 探討自體血造血榦細胞移植術前準備中實施臨床路徑的效果。方法 將30例擬行自體造血榦細胞移植患者隨機分為臨床路徑組和傳統組，各15例。臨床路徑組術前準備實施臨床路徑方法，傳統組術前準備採用傳統法。比較兩組患者住院時間、住院費用、健康知識掌握情況、滿意度、抑鬱及焦慮情況。結果 臨床路徑組患者住院總費用為( 100 972±261)元，低于傳統組(126 374±306)元，差異有統計學意義（t =4.48,P＜0.05）；臨床路徑組患者健康知識掌握優良率為93.3％、滿意度為86.6％，均高于傳統組46.6％，33.3％(x2=9.3，8.7;P ＜0.05)；術前準備時間、移植後心理併髮癥也低于傳統組(P＜0.05)。結論 臨床路徑為整體護理提供瞭更有效的指導，在自體造血造血榦細胞移植術前準備中實施臨床路徑，可以提高患者滿意度、縮短術前準備時間、節省住院費用、減少併髮癥、提高護理質量。
목적 탐토자체혈조혈간세포이식술전준비중실시림상로경적효과。방법 장30례의행자체조혈간세포이식환자수궤분위림상로경조화전통조，각15례。림상로경조술전준비실시림상로경방법，전통조술전준비채용전통법。비교량조환자주원시간、주원비용、건강지식장악정황、만의도、억욱급초필정황。결과 림상로경조환자주원총비용위( 100 972±261)원，저우전통조(126 374±306)원，차이유통계학의의（t =4.48,P＜0.05）；림상로경조환자건강지식장악우량솔위93.3％、만의도위86.6％，균고우전통조46.6％，33.3％(x2=9.3，8.7;P ＜0.05)；술전준비시간、이식후심리병발증야저우전통조(P＜0.05)。결론 림상로경위정체호리제공료경유효적지도，재자체조혈조혈간세포이식술전준비중실시림상로경，가이제고환자만의도、축단술전준비시간、절성주원비용、감소병발증、제고호리질량。
Objective To investigate the effect of clinical pathway implementation in the preoperative preparation of autologous blood stem cell transplantation. Methods 30 patients who would received autologous blood stem cell transplantation were divided into clinical pathway group and traditional group, each group had 15 cases. Patients in clinical pathway group were given clinical pathway, and traditional group were given the traditional method of preoperative preparation. Hospital stay, hospital charge, management of health knowledge, satisfaction rate, depressed and anxious were compared. Results Hospital charge in clinical pathway group was (100972 ±261 ) yuan,and (126374±306) yuan in traditional group,there was statistically different(t =4. 48,P ＜0. 05). In clinical pathway group about 93.3％ patients manage the health knowledge well, and the satisfaction rate was 86. 6％ ,both were higher than in traditional group 46.6％ ,33.3％ (x2 =9.3,8.7;P ＜0. 05) ; preparation time and the incidence of complication were lower in clinical pathway group ( P ＜ 0. 05 ). Conclusions The clinical pathway provides more effective guidance, it can improve patients' satisfaction, shorten preoperative preparation time, save hospitalization charge, reduce complications and improve the quality of care.
