中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
29期
108-111
,共4页
单纯性结核性胸膜炎%临床护理路径%整体护理%护理质量
單純性結覈性胸膜炎%臨床護理路徑%整體護理%護理質量
단순성결핵성흉막염%림상호리로경%정체호리%호리질량
Simple tuberculous pleurisy%Clinical nursing pathway%Holistic nursing%Nursing quality
目的：探究并分析运用临床护理路径对单纯性结核性胸膜炎患者实施整体护理的临床效果及可行性。方法选取2011年1月~2013年1月浙江省宁波市第二医院收治的单纯性结核性胸膜炎患者100例，将其作为研究对象。其中2011年1月~2012年1月收治的50例患者给予常规护理，作为对照组；2012年2月~2013年1月收治的50例患者采取临床护理路径进行整体护理，作为观察组。观察并比较两组患者的护理效果。结果观察组患者住院时间、住院费用为(12.5±2.5)d、(4818.6±248.5)元，均明显少于对照组[(22.1±2.9)d、(7711.5±345.7)元]；两组患者的健康知识评分均有所提高，且观察组护理后健康知识评分为(28.4±1.3)分，明显高于对照组[(23.8±1.1)分]；观察组患者护理后知识掌握优良率、患者满意度分别为94.0%、100.0%，均明显高于对照组(74.0%、76.0%)，差异均有统计学意义(P<0.05或P<0.01)。结论运用护理路径实施整体护理在单纯性结核性胸膜炎患者中是可行的，不仅提高了护理服务质量，且患者满意度高，医疗费用及住院天数均明显降低，值得在临床上广泛应用。
目的：探究併分析運用臨床護理路徑對單純性結覈性胸膜炎患者實施整體護理的臨床效果及可行性。方法選取2011年1月~2013年1月浙江省寧波市第二醫院收治的單純性結覈性胸膜炎患者100例，將其作為研究對象。其中2011年1月~2012年1月收治的50例患者給予常規護理，作為對照組；2012年2月~2013年1月收治的50例患者採取臨床護理路徑進行整體護理，作為觀察組。觀察併比較兩組患者的護理效果。結果觀察組患者住院時間、住院費用為(12.5±2.5)d、(4818.6±248.5)元，均明顯少于對照組[(22.1±2.9)d、(7711.5±345.7)元]；兩組患者的健康知識評分均有所提高，且觀察組護理後健康知識評分為(28.4±1.3)分，明顯高于對照組[(23.8±1.1)分]；觀察組患者護理後知識掌握優良率、患者滿意度分彆為94.0%、100.0%，均明顯高于對照組(74.0%、76.0%)，差異均有統計學意義(P<0.05或P<0.01)。結論運用護理路徑實施整體護理在單純性結覈性胸膜炎患者中是可行的，不僅提高瞭護理服務質量，且患者滿意度高，醫療費用及住院天數均明顯降低，值得在臨床上廣汎應用。
목적：탐구병분석운용림상호리로경대단순성결핵성흉막염환자실시정체호리적림상효과급가행성。방법선취2011년1월~2013년1월절강성저파시제이의원수치적단순성결핵성흉막염환자100례，장기작위연구대상。기중2011년1월~2012년1월수치적50례환자급여상규호리，작위대조조；2012년2월~2013년1월수치적50례환자채취림상호리로경진행정체호리，작위관찰조。관찰병비교량조환자적호리효과。결과관찰조환자주원시간、주원비용위(12.5±2.5)d、(4818.6±248.5)원，균명현소우대조조[(22.1±2.9)d、(7711.5±345.7)원]；량조환자적건강지식평분균유소제고，차관찰조호리후건강지식평분위(28.4±1.3)분，명현고우대조조[(23.8±1.1)분]；관찰조환자호리후지식장악우량솔、환자만의도분별위94.0%、100.0%，균명현고우대조조(74.0%、76.0%)，차이균유통계학의의(P<0.05혹P<0.01)。결론운용호리로경실시정체호리재단순성결핵성흉막염환자중시가행적，불부제고료호리복무질량，차환자만의도고，의료비용급주원천수균명현강저，치득재림상상엄범응용。
Objective To analyze the clinical curative effect and the feasibility of application of clinical nursing path-way of holistic nursing care on the simple tuberculous pleurisy patients. Methods 100 cases of patients with simple tu-berculous pleuris from January 2011 to January 2013 in the Second Hospital of Ningbo City were selected, 50 patients hospitalized between January 2011 and January 2012 as control group were given the routine nursing care;among them, 50 cases of patients from February 2012 to January 2013 were given the clinical nursing path of holistic nursing, which was the observation group. Nursing effects of the two groups were compared. Results After health care, the patients' hospital stay, average hospital cost were (12.5±2.5) d, (4818.6±248.5) yuan in the observation group, which were signifi-cantly less than those in the control group [(22.1±2.9) d, (7711.5±345.7) yuan]; health knowledge scores in two groups of patients were improved, and the care knowledge score in observation group after health was (28.4±1.3) points, which was significantly higher than that in the control group [(23.8±1.1) points];knowledge to grasp good rate, patient satisfac-tion in the observation group after nursing were 94.0%, 100.0%, which were higher than those in the control group (74.0%, 76.0%). There were all statistically significant differences (P<0.05 or P<0.01). Conclusion The nursing path to the implementation of holistic nursing in simple tuberculous pleurisy is feasible, and it can not only improve the quality of nursing service, but also with high patients’satisfaction, besides, the medical costs and hospital stay has sig-nificantly reduced, therefore worth using widely in clinic.
