中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
23期
2773-2775
,共3页
脑梗死%护理质量%临床护理路径
腦梗死%護理質量%臨床護理路徑
뇌경사%호리질량%림상호리로경
Acute cerebral infarction%Nursing quality%Clinical nursing pathway
目的 观察临床护理路径在急性脑梗死患者中的应用效果.方法 选择200例脑梗死患者采用随机数字表法分为对照组和观察组各100例.对照组采用传统模式进行常规护理;观察组按照临床护理路径的指示对患者从入院至出院,系统、动态、连续而有针对性地进行指导和护理.比较两组患者的住院时间、住院费用、并发症发生率、患者满意度、疾病知识知晓率等情况.结果 观察组住院时间为(25.2±2.1)d,对照组为(31.1±3.2)d,差异有统计学意义(t=213.14,P<0.05).观察组住院费用为(4700±105)元,对照组为(5030±143)元,差异有统计学意义(t=308.01,P<0.05).观察组并发症发生率、患者满意度和疾病相关知识知晓率分别为2%,98.96%,96%;对照组分别为9%,95.03%,75%,两组比较差异有统计学意义(x2值分别为4.71,8.87,17.29;P <0.05或P<0.01).结论 对急性脑梗死患者应用临床护理路径进行管理,可缩短患者的平均住院时间,减少住院费用及并发症的发生,可提高患者满意度及患者对疾病相关知识的知晓率.
目的 觀察臨床護理路徑在急性腦梗死患者中的應用效果.方法 選擇200例腦梗死患者採用隨機數字錶法分為對照組和觀察組各100例.對照組採用傳統模式進行常規護理;觀察組按照臨床護理路徑的指示對患者從入院至齣院,繫統、動態、連續而有針對性地進行指導和護理.比較兩組患者的住院時間、住院費用、併髮癥髮生率、患者滿意度、疾病知識知曉率等情況.結果 觀察組住院時間為(25.2±2.1)d,對照組為(31.1±3.2)d,差異有統計學意義(t=213.14,P<0.05).觀察組住院費用為(4700±105)元,對照組為(5030±143)元,差異有統計學意義(t=308.01,P<0.05).觀察組併髮癥髮生率、患者滿意度和疾病相關知識知曉率分彆為2%,98.96%,96%;對照組分彆為9%,95.03%,75%,兩組比較差異有統計學意義(x2值分彆為4.71,8.87,17.29;P <0.05或P<0.01).結論 對急性腦梗死患者應用臨床護理路徑進行管理,可縮短患者的平均住院時間,減少住院費用及併髮癥的髮生,可提高患者滿意度及患者對疾病相關知識的知曉率.
목적 관찰림상호리로경재급성뇌경사환자중적응용효과.방법 선택200례뇌경사환자채용수궤수자표법분위대조조화관찰조각100례.대조조채용전통모식진행상규호리;관찰조안조림상호리로경적지시대환자종입원지출원,계통、동태、련속이유침대성지진행지도화호리.비교량조환자적주원시간、주원비용、병발증발생솔、환자만의도、질병지식지효솔등정황.결과 관찰조주원시간위(25.2±2.1)d,대조조위(31.1±3.2)d,차이유통계학의의(t=213.14,P<0.05).관찰조주원비용위(4700±105)원,대조조위(5030±143)원,차이유통계학의의(t=308.01,P<0.05).관찰조병발증발생솔、환자만의도화질병상관지식지효솔분별위2%,98.96%,96%;대조조분별위9%,95.03%,75%,량조비교차이유통계학의의(x2치분별위4.71,8.87,17.29;P <0.05혹P<0.01).결론 대급성뇌경사환자응용림상호리로경진행관리,가축단환자적평균주원시간,감소주원비용급병발증적발생,가제고환자만의도급환자대질병상관지식적지효솔.
Objective To observe the effect of the clinical nursing pathway on the acute cerebral infarction patients.Methods Totals of 200 acute cerebral infarction patients were recruited and randomly divided into observation group and control group,with 100 cases each group.Control group received the routine nursing,while observation group received the clinical nursing pathway:the system,dynamic,continuous guidance and nursing care during hospital.Then,the length time of stay,hospitalization expenses,the incidence of complications,patients' satisfaction,the knowledge rates of disease of two groups were observed.Results The length time of stay and hospitalization expenses of observation group were respectively lower than that of the control group [ (25.2 ± 2.1 ) d vs (31.1 ± 3.2 ) d,(4 700 ± 105 ) yuan vs (5 030 ± 143 ) yuan; t =213.14,308.01 ; P < 0.05 ].The incidence of complications,patients' satisfaction,the knowledge rates of disease of observation group were 2%,98.96%,96% respectively,and that of control group were 9%,95.03%,75% respectively,and the differences were statistically significant ( x2 =4.71,8.87,17.29,respectively ;P <0.05 or P < 0.05).Conclusions Applying the clinical nursing pathway in the management of acute cerebral infarction patients can shorten the length time of stay,decrease hospitalization expenses,reduce the incidence of the complications,and improve the knowledge rates of disease of the patients.