中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2013年
8期
105-106,107
,共3页
王斐%何樱%宋磊%井苏楠
王斐%何櫻%宋磊%井囌楠
왕비%하앵%송뢰%정소남
临床路径:急性心肌梗死:介入治疗%护理
臨床路徑:急性心肌梗死:介入治療%護理
림상로경:급성심기경사:개입치료%호리
Clinical path%Acute myocardial infarction%Interventional therapy%Nursing
目的：研究评价临床护理路径模式在急性心肌梗死患者介入治疗术中应用的效果。方法：将86例行介入治疗的急性心肌梗死患者随机分为对照组与观察组，每组各43例，对照组采用常规护理，观察组采用临床护理路径进行护理。观察两组患者的并发症、住院时间、住院费用和对护理工作的满意率等指标。结果：观察组患者满意率高于对照组，两组相比差异有统计学意义(t=6.15，P<0.05)。观察组并发症的发生情况明显低于对照组，两组相比差异有统计学意义(t＝5.58，P<0.05)。观察组患者的住院时间、卧床时间均明显短于对照组，住院费用及日均费用均显著少于对照组，两组相比差异有统计学意义(t＝6.25，t＝6.13；P<0.05)。结论：急性心肌梗死介入治疗中应用临床护理路径可以缩短患者住院时间、降低患者医疗费用、提高护理工作满意率，值得临床推广。
目的：研究評價臨床護理路徑模式在急性心肌梗死患者介入治療術中應用的效果。方法：將86例行介入治療的急性心肌梗死患者隨機分為對照組與觀察組，每組各43例，對照組採用常規護理，觀察組採用臨床護理路徑進行護理。觀察兩組患者的併髮癥、住院時間、住院費用和對護理工作的滿意率等指標。結果：觀察組患者滿意率高于對照組，兩組相比差異有統計學意義(t=6.15，P<0.05)。觀察組併髮癥的髮生情況明顯低于對照組，兩組相比差異有統計學意義(t＝5.58，P<0.05)。觀察組患者的住院時間、臥床時間均明顯短于對照組，住院費用及日均費用均顯著少于對照組，兩組相比差異有統計學意義(t＝6.25，t＝6.13；P<0.05)。結論：急性心肌梗死介入治療中應用臨床護理路徑可以縮短患者住院時間、降低患者醫療費用、提高護理工作滿意率，值得臨床推廣。
목적：연구평개림상호리로경모식재급성심기경사환자개입치료술중응용적효과。방법：장86례행개입치료적급성심기경사환자수궤분위대조조여관찰조，매조각43례，대조조채용상규호리，관찰조채용림상호리로경진행호리。관찰량조환자적병발증、주원시간、주원비용화대호리공작적만의솔등지표。결과：관찰조환자만의솔고우대조조，량조상비차이유통계학의의(t=6.15，P<0.05)。관찰조병발증적발생정황명현저우대조조，량조상비차이유통계학의의(t＝5.58，P<0.05)。관찰조환자적주원시간、와상시간균명현단우대조조，주원비용급일균비용균현저소우대조조，량조상비차이유통계학의의(t＝6.25，t＝6.13；P<0.05)。결론：급성심기경사개입치료중응용림상호리로경가이축단환자주원시간、강저환자의료비용、제고호리공작만의솔，치득림상추엄。
Objective: To study the application effect of clinical nursing pathway in acute myocardial infarction interventional treatment. Methods:Eighty-six cases with routine intervention in treatment of acute myocardial infarction patients were randomly divided into control group and observation group, and 43 cases in each group. The conventional nursing was provided in control group, clinical nursing path was provided to observation group. Some indicators were observed between the two groups of patients in complications, the length of time, costs and to the satisfaction of nursing work etc. Results:The patient’s satisfaction rate is far higher in observation group than control group, the difference is statistically significant (t=6.15, P<0.05). The complications situation in observation group was obviously lower than control group. the difference is also statistically significant(t=5.58, P<0.05). The patients in hospital time, bed time in observation group were significantly shorter than that in control group and hospital costs and average daily cost were significantly less than that control group(t=6.25, t=6.13, P<0.05). Conclusion:The interventional treatment for acute myocardial infarction application of clinical nursing path can shorten hospitalization time, reduce patient’s medical costs, improve nursing satisfaction rate. It is worth clinical promotion.
