CAJ | 학술논문

　　目的探讨临床护理路径在脑梗死患者中的应用效果。方法将200例脑梗死患者按随机数字表法分为传统组与路径组，每组各100例。路径组患者实施临床护理路径，传统组采用常规护理方法。采用美国国立卫生研究院卒中量表（national institute of health stroke scale，NIHSS）和Barthel指数（barthel index ，BI）评价患者神经功能缺损程度和日常生活活动能力，并比较两组患者住院天数、医疗费用、患者的满意度和治疗效果。结果治疗后，路径组患者BI指数得分较传统组高，住院时间较传统组短，住院费用较传统组低，满意度较传统组高，两组比较，差异具有统计学意义（均P＜0.05）。结论对脑梗死患者实施临床护理路径可提高患者日常生活活动能力和护理质量，从而缩短患者住院时间及降低医疗费用，提高患者满意度。
　　목적탐토림상호리로경재뇌경사환자중적응용효과。방법장200례뇌경사환자안수궤수자표법분위전통조여로경조，매조각100례。로경조환자실시림상호리로경，전통조채용상규호리방법。채용미국국립위생연구원졸중량표（national institute of health stroke scale，NIHSS）화Barthel지수（barthel index ，BI）평개환자신경공능결손정도화일상생활활동능력，병비교량조환자주원천수、의료비용、환자적만의도화치료효과。결과치료후，로경조환자BI지수득분교전통조고，주원시간교전통조단，주원비용교전통조저，만의도교전통조고，량조비교，차이구유통계학의의（균P＜0.05）。결론대뇌경사환자실시림상호리로경가제고환자일상생활활동능력화호리질량，종이축단환자주원시간급강저의료비용，제고환자만의도。
Objective To investigate the effect of clinical nursing pathway on patients with cerebral infarction. Methods Two hundred patients with cerebral infarction were randomized by random digit table into the clinical pathway group and the conventional nursing group.The former was managed with the clinical nursing pathway and the latter received conventional nursing. The neurologic impairment and the activities of daily life were assessed respectively by national institute of health stroke scale(NIHSS) and Barthel index(BI).The two groups were compared in terms of hospital stay,medical expense,patient’s satisfaction and curative effect. Results Compared to the conventional nursing group,the clinical pathway group was shorter at hospital stay,lower at lower hospitalization cost,higher at patient’s satisfaction and higher in the score by Barthel index,compared to the conventional nursing group(all P<0.05). Conclusion The application of clinical nursing pathway in patients with cerebral infarction can improve the activities of daily living and the quality of care,shorten length of stay,reduce medical cost and increase patients’satisfaction drgree.