CAJ | 학술논문

目的：探究临床护理路径在门诊输液治疗中的应用及效果。方法：选取2012年2月-2013年5月笔者所在医院门诊输液治疗室收治的120例患者，按随机数字表法分为观察组与对照组，各60例，观察组患者应用临床护理路径，对照组患者应用临床常规护理。观察两组患者平均输液时间、治疗费用、不良反应、满意度及不良心理状况等情况。结果：经护理干预后，观察组平均输液时间、平均治疗费用明显少于对照组，差异有统计学意义(P<0.05)；观察组不良反应发生率明显低于对照组，差异有统计学意义(P<0.05)；观察组总满意率明显高于对照组，差异有统计学意义(P<0.05)；观察组与对照组护理后SAS、SDS评分较护理前均有明显改善，观察组护理后SAS、SDS评分均明显优于对照组，差异有统计学意义(P<0.05)。结论：临床护理路径能明显减少门诊患者平均输液时间与平均治疗费用，降低不良反应的发生，改善患者的不良心理状态，增加患者对护理服务的满意度，促进护患之间的关系，临床效果显著，值得在临床上推广与应用。
목적：탐구림상호리로경재문진수액치료중적응용급효과。방법：선취2012년2월-2013년5월필자소재의원문진수액치료실수치적120례환자，안수궤수자표법분위관찰조여대조조，각60례，관찰조환자응용림상호리로경，대조조환자응용림상상규호리。관찰량조환자평균수액시간、치료비용、불량반응、만의도급불양심리상황등정황。결과：경호리간예후，관찰조평균수액시간、평균치료비용명현소우대조조，차이유통계학의의(P<0.05)；관찰조불량반응발생솔명현저우대조조，차이유통계학의의(P<0.05)；관찰조총만의솔명현고우대조조，차이유통계학의의(P<0.05)；관찰조여대조조호리후SAS、SDS평분교호리전균유명현개선，관찰조호리후SAS、SDS평분균명현우우대조조，차이유통계학의의(P<0.05)。결론：림상호리로경능명현감소문진환자평균수액시간여평균치료비용，강저불량반응적발생，개선환자적불양심리상태，증가환자대호리복무적만의도，촉진호환지간적관계，림상효과현저，치득재림상상추엄여응용。
Objective:To investigate the application and effect of clinical nursing path in outpatient infusion therapy.Method:120 cases of patients from February 2012 to May 2013 in author’s hospital outpatient infusion therapy room treated,who according to figures were randomly divided into observation group and control group,each group had 60 cases,the observation group patients were given clinical nursing path,the control group patients were given clinical general nursing.Observed the average infusion time,the cost of treatment,adverse reactions,satisfaction and adverse psychological conditions and so on.Result:After nursing intervention,the average infusion time,the average cost of treatment observation group were significantly less than that of control group,the difference were statistically significant(P<0.05);the adverse reaction rate of observation group was significantly lower than that of control group,the difference was statistically significant(P<0.05);the overall satisfaction rate of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05);the SAS,SDS score of two groups were significantly improved compared with before treatment,the SAS,SDS scores after nursing of observation group care were significantly better than the control group,the difference was statistically significant(P<0.05).Conclusion:The clinical nursing path can significantly reduce the average outpatient infusion time and the average cost of treatment,reduce the incidence of adverse reactions,improve the poor mental state of patients,increased patient satisfaction with care,and promote the relationship between nurses and patients,the clinical effect is significant,it is worthy of promotion and application in clinical practice.