国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2014年
2期
413-416
,共4页
陈健红%邓瑞珍%江霞%刘砂沙
陳健紅%鄧瑞珍%江霞%劉砂沙
진건홍%산서진%강하%류사사
分级管理%护理路径%STEMI%效果
分級管理%護理路徑%STEMI%效果
분급관리%호리로경%STEMI%효과
Layered management%Nursing pathway%STEMI%Effect
目的 探讨护士分层级管理与临床护理路径联合应用于STEMI(急性ST段抬高型心肌梗死)患者的效果.方法 选取STEMI患者115例,分为对照组(38例)、实验组1(37例)、实验组2(40例).对照组以整体护理为基础,实施常规急性心肌梗死护理；实验组l在常规急性心肌梗死护理的基础上,落实以时间为横轴、项目为纵轴的临床护理路径；实验组2在实验l的基础上,将护士分层级管理与临床护理路径联合应用于STEMI患者.比较三组患者的平均住院日,平均住院费,患者、护士及医生的满意度情况.结果 实验组患者平均住院日、平均住院费明显低于对照组(P ＜0.05,P＜0.01),实验组2患者平均住院日、平均住院费又明显低于实验组1(P＜0.01).在疾病知识测试方面,实验组2明显高于实验组1(P＜0.01).出院前和出院后15 d电话回访,实验组患者对护理满意度均明显高于对照组(P＜0.01),实验组2也均明显高于实验组1(P＜0.01).护士对护理工作满意度方面,除医护关系外实验组均明显高于对照组(P ＜0.05,P ＜0.01),实验组2也均明显高于实验组1(P＜0.01).医生对护理满意度方面,除医护关系外实验组均明显高于对照组(P ＜0.01),实验组2除危急值处理和医护关系外也均明显高于实验组1(P＜0.01).结论 护士分层级管理与临床护理路径适用于STEMI患者,比单一使用临床护理路径更能有效缩短平均住院日、降低平均住院费、减轻患者经济负担、提升护理工作满意度,具有良好的应用效果.
目的 探討護士分層級管理與臨床護理路徑聯閤應用于STEMI(急性ST段抬高型心肌梗死)患者的效果.方法 選取STEMI患者115例,分為對照組(38例)、實驗組1(37例)、實驗組2(40例).對照組以整體護理為基礎,實施常規急性心肌梗死護理；實驗組l在常規急性心肌梗死護理的基礎上,落實以時間為橫軸、項目為縱軸的臨床護理路徑；實驗組2在實驗l的基礎上,將護士分層級管理與臨床護理路徑聯閤應用于STEMI患者.比較三組患者的平均住院日,平均住院費,患者、護士及醫生的滿意度情況.結果 實驗組患者平均住院日、平均住院費明顯低于對照組(P ＜0.05,P＜0.01),實驗組2患者平均住院日、平均住院費又明顯低于實驗組1(P＜0.01).在疾病知識測試方麵,實驗組2明顯高于實驗組1(P＜0.01).齣院前和齣院後15 d電話迴訪,實驗組患者對護理滿意度均明顯高于對照組(P＜0.01),實驗組2也均明顯高于實驗組1(P＜0.01).護士對護理工作滿意度方麵,除醫護關繫外實驗組均明顯高于對照組(P ＜0.05,P ＜0.01),實驗組2也均明顯高于實驗組1(P＜0.01).醫生對護理滿意度方麵,除醫護關繫外實驗組均明顯高于對照組(P ＜0.01),實驗組2除危急值處理和醫護關繫外也均明顯高于實驗組1(P＜0.01).結論 護士分層級管理與臨床護理路徑適用于STEMI患者,比單一使用臨床護理路徑更能有效縮短平均住院日、降低平均住院費、減輕患者經濟負擔、提升護理工作滿意度,具有良好的應用效果.
목적 탐토호사분층급관리여림상호리로경연합응용우STEMI(급성ST단태고형심기경사)환자적효과.방법 선취STEMI환자115례,분위대조조(38례)、실험조1(37례)、실험조2(40례).대조조이정체호리위기출,실시상규급성심기경사호리；실험조l재상규급성심기경사호리적기출상,락실이시간위횡축、항목위종축적림상호리로경；실험조2재실험l적기출상,장호사분층급관리여림상호리로경연합응용우STEMI환자.비교삼조환자적평균주원일,평균주원비,환자、호사급의생적만의도정황.결과 실험조환자평균주원일、평균주원비명현저우대조조(P ＜0.05,P＜0.01),실험조2환자평균주원일、평균주원비우명현저우실험조1(P＜0.01).재질병지식측시방면,실험조2명현고우실험조1(P＜0.01).출원전화출원후15 d전화회방,실험조환자대호리만의도균명현고우대조조(P＜0.01),실험조2야균명현고우실험조1(P＜0.01).호사대호리공작만의도방면,제의호관계외실험조균명현고우대조조(P ＜0.05,P ＜0.01),실험조2야균명현고우실험조1(P＜0.01).의생대호리만의도방면,제의호관계외실험조균명현고우대조조(P ＜0.01),실험조2제위급치처리화의호관계외야균명현고우실험조1(P＜0.01).결론 호사분층급관리여림상호리로경괄용우STEMI환자,비단일사용림상호리로경경능유효축단평균주원일、강저평균주원비、감경환자경제부담、제승호리공작만의도,구유량호적응용효과.
Objective To research the effect of the layered management combined with clinical nursing pathway for STEMI patients.Methods Selected 115 STEMI patients,they were divided into control group (38 cases),the experimental groupl (37 cases),group2 (40 cases).The control group was received routine acute myocardial infarction nursing based on comprehensive nursing.The experimental groupl was received the clinical pathway taking time as horizontal axis,project as vertical axis.Based on the experimental group1,the experimental group2 was received the nurse layered management combined with clinical nursing pathway for STEMI patients.The average hospitalization days,cost,the satisfaction degree of patients,nurses and doctors were compared among three groups.Results Compared with control group,the average hospitalization days and cost obviously were lower (P ＜0.05,P ＜0.01),those of the experimental group2 were lower than those of the experimental group1 (P ＜0.01),and the latter was obviously higher than the former in the aspect of disease knowledge test (P ＜ 0.01).Before discharge and 15 days after discharge telephone return visit showed that the nursing satisfaction degree of the experimental group was obviously higher than that of the control group.In the aspect of nursing job satisfaction degree of doctor and nurse,the experimental group was obviously higher than the control group (P ＜ 0.01).Conclusions The nurse layered management combined with clinical nursing pathway for STEMI patients can effectively shorten the average hospitalization days,reduce the average hospitalization cost,promote the nursing job satisfaction,it had a good application effect and was worth popularizing in clinic.
