中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2013年
29期
49-52
,共4页
何秀英%陈剑英%吴风云%叶装%陈华云%郑红秀%陈小寒%官芳萍%程文桃
何秀英%陳劍英%吳風雲%葉裝%陳華雲%鄭紅秀%陳小寒%官芳萍%程文桃
하수영%진검영%오풍운%협장%진화운%정홍수%진소한%관방평%정문도
临床路径%护理%精神分裂症%相关因素
臨床路徑%護理%精神分裂癥%相關因素
림상로경%호리%정신분렬증%상관인소
Clinical pathway%Nursing care%Schizophrenia%Related factors
目的 评估临床护理路径(CNP)在精神分裂症患者中的应用效果,并探讨其影响因素.方法 将125例住院精神分裂症患者随机分成CNP组63例和非CNP组62例,予以临床护理路径的干预.比较组间在疗效、住院天数、住院费用、健康教育内容知悉度量表和护理工作满意度量表评分的差异,以Logistic回归分析影响CNP组实施效果的因素.结果 CNP组健康教育内容知悉度调查评分、工作满意度量表评分均高于非CNP组,差异有统计学意义；而2组间的疗效、住院天数、住院费用等比较差异无统计学意义.单因素分析和Logistic回归分析均显示,患者年龄和受教育程度显著影响CNP组的实施效果.结论 在精神科实施CNP是行之有效的,短期内可明显改善护患关系,提高患者健康教育效果,从而有助于提高患者服药依从性.
目的 評估臨床護理路徑(CNP)在精神分裂癥患者中的應用效果,併探討其影響因素.方法 將125例住院精神分裂癥患者隨機分成CNP組63例和非CNP組62例,予以臨床護理路徑的榦預.比較組間在療效、住院天數、住院費用、健康教育內容知悉度量錶和護理工作滿意度量錶評分的差異,以Logistic迴歸分析影響CNP組實施效果的因素.結果 CNP組健康教育內容知悉度調查評分、工作滿意度量錶評分均高于非CNP組,差異有統計學意義；而2組間的療效、住院天數、住院費用等比較差異無統計學意義.單因素分析和Logistic迴歸分析均顯示,患者年齡和受教育程度顯著影響CNP組的實施效果.結論 在精神科實施CNP是行之有效的,短期內可明顯改善護患關繫,提高患者健康教育效果,從而有助于提高患者服藥依從性.
목적 평고림상호리로경(CNP)재정신분렬증환자중적응용효과,병탐토기영향인소.방법 장125례주원정신분렬증환자수궤분성CNP조63례화비CNP조62례,여이림상호리로경적간예.비교조간재료효、주원천수、주원비용、건강교육내용지실도량표화호리공작만의도량표평분적차이,이Logistic회귀분석영향CNP조실시효과적인소.결과 CNP조건강교육내용지실도조사평분、공작만의도량표평분균고우비CNP조,차이유통계학의의；이2조간적료효、주원천수、주원비용등비교차이무통계학의의.단인소분석화Logistic회귀분석균현시,환자년령화수교육정도현저영향CNP조적실시효과.결론 재정신과실시CNP시행지유효적,단기내가명현개선호환관계,제고환자건강교육효과,종이유조우제고환자복약의종성.
Objective The present study is to evaluate the effects of clinical nursing pathway (CNP)carried out among the in-patients with schizophrenia,and investigate its associated factors.Methods Via a random assignation,a total of 125 in-patients with schizophrenia were eligible,63 cases in the CNP group and 62 cases in the control group.CNP procedure was implemented in the CNP group,however only routine health education was carried out in the control group.In time of discharge,serial investigations were executed including hospitalization days,medical cost,knowledge about health education (KHE),and clinical global impression-global improvement (CGI-GI) and satisfaction survey (SS).Finally Logistic regression procedure was used for determining the variables associated with outcomes.Results Compared with the control group,the CNP group showed significantly higher scores in KHE and SS,but not in hospitalization days,medical cost and eficacy.Mono-variant and multivariate Logistic regression analysis indicated that in the CNP group,only age and education levels were the factors significantly related with CNP effects.Conclusions Our result displays that CNP is profitable to be carried out in psychiatric department.It can improve relationship between nurses and patients,enhance health education effect,and thus contribute to increasing compliance to antipsychotics.
