中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
8期
892-896
,共5页
面神经麻痹%心理护理%临床路径
麵神經痳痺%心理護理%臨床路徑
면신경마비%심리호리%림상로경
Facial neuritis%Psychological care%Clinical pathway
目的 探索心理护理临床路径在面神经炎患者康复中的应用效果.方法 2010年1月至2012年8月广东省佛山市第三人民医院神经内科收治的面神经炎患者74例,采用随机数字表法分为路径组和对照组,各37例.对照组采用常规护理,路径组在此基础上采用心理护理临床路径对患者实施干预,比较两组患者入院第2天至出院日焦虑、抑郁程度,住院时间,住院费用和患者满意度及治疗效果等主要指标.结果 与对照组比较,路径组出院日焦虑、抑郁程度,住院时间,住院费用明显降低[(43.60±9.32)分,(32.91 ±4.04)分,(18.9 ±3.9)d,(4325.12 ±706.9)元],差异有统计学意义(t值分别为6.757,22.320,8.569,3.253;P＜0.01)；路径组患者满意度及治疗效果、健康教育知识掌握情况[94.59％,97.30％,(92.1±6.4)分]均高于对照组,两组比较差异有统计学意义(x2值分别为5.232,16.207,t=13.068;P ＜0.05).结论 采用心理护理临床路径模式加强面神经炎患者的心理护理,能改善患者不良心理状态,可促进疾病恢复,降低住院费用,缩短住院天数,提高患者的满意度和治疗效果等.通过心理护理临床路径工作的标准化和程序化,使护理工作由被动变为主动,让患者获得最佳的优质护理服务和健康教育效果,同时有利于护理人员专业知识与层次和职业满意度的提升.
目的 探索心理護理臨床路徑在麵神經炎患者康複中的應用效果.方法 2010年1月至2012年8月廣東省彿山市第三人民醫院神經內科收治的麵神經炎患者74例,採用隨機數字錶法分為路徑組和對照組,各37例.對照組採用常規護理,路徑組在此基礎上採用心理護理臨床路徑對患者實施榦預,比較兩組患者入院第2天至齣院日焦慮、抑鬱程度,住院時間,住院費用和患者滿意度及治療效果等主要指標.結果 與對照組比較,路徑組齣院日焦慮、抑鬱程度,住院時間,住院費用明顯降低[(43.60±9.32)分,(32.91 ±4.04)分,(18.9 ±3.9)d,(4325.12 ±706.9)元],差異有統計學意義(t值分彆為6.757,22.320,8.569,3.253;P＜0.01)；路徑組患者滿意度及治療效果、健康教育知識掌握情況[94.59％,97.30％,(92.1±6.4)分]均高于對照組,兩組比較差異有統計學意義(x2值分彆為5.232,16.207,t=13.068;P ＜0.05).結論 採用心理護理臨床路徑模式加彊麵神經炎患者的心理護理,能改善患者不良心理狀態,可促進疾病恢複,降低住院費用,縮短住院天數,提高患者的滿意度和治療效果等.通過心理護理臨床路徑工作的標準化和程序化,使護理工作由被動變為主動,讓患者穫得最佳的優質護理服務和健康教育效果,同時有利于護理人員專業知識與層次和職業滿意度的提升.
목적 탐색심리호리림상로경재면신경염환자강복중적응용효과.방법 2010년1월지2012년8월광동성불산시제삼인민의원신경내과수치적면신경염환자74례,채용수궤수자표법분위로경조화대조조,각37례.대조조채용상규호리,로경조재차기출상채용심리호리림상로경대환자실시간예,비교량조환자입원제2천지출원일초필、억욱정도,주원시간,주원비용화환자만의도급치료효과등주요지표.결과 여대조조비교,로경조출원일초필、억욱정도,주원시간,주원비용명현강저[(43.60±9.32)분,(32.91 ±4.04)분,(18.9 ±3.9)d,(4325.12 ±706.9)원],차이유통계학의의(t치분별위6.757,22.320,8.569,3.253;P＜0.01)；로경조환자만의도급치료효과、건강교육지식장악정황[94.59％,97.30％,(92.1±6.4)분]균고우대조조,량조비교차이유통계학의의(x2치분별위5.232,16.207,t=13.068;P ＜0.05).결론 채용심리호리림상로경모식가강면신경염환자적심리호리,능개선환자불양심리상태,가촉진질병회복,강저주원비용,축단주원천수,제고환자적만의도화치료효과등.통과심리호리림상로경공작적표준화화정서화,사호리공작유피동변위주동,양환자획득최가적우질호리복무화건강교육효과,동시유리우호리인원전업지식여층차화직업만의도적제승.
Objective To investigate the efficacy of psychological care clinical pathway on the rehabilitation of patients with facial ncuritis.Methods Analysis from 74 cases of hospitalized patients with facial neuritis in neurology from January 2010 to August 2012.They were randomly divided into the path group and control group,37 cases for each.The control group was treated with conventional care,while the path group received the clinical path of psychological care on the basis of conventional care.Anxiety and severity of depression of patients in the first day to hospital,the second day,and discharge from hospital,length of stay,hospital costs,patients' satisfaction,efficacy and other key indicators were observed and compared between the two groups.Results As compared with the control group,the path group had significantly lower in the anxiety score of the discharged day (43.60 ± 9.32),depression (32.91 ± 4.04),hospital stay (18.9 ± 3.9 days),hospital costs(4325.12 ± 706.9 (￥)),and the difference between the two groups was significantly difference (t =6.757,22.320,8.569,3.253,respectively ; P ＜ 0.01).And the patients' satisfaction (94.59％),treatment effect (97.30％),and health education knowledge score (92.1 ± 6.4) in the path group were significantly higher than that in the control group (x2 =5.232,16.207,respectively; t =13.068 ; P ＜ 0.05).Conclusions Using psychological care clinical path mode to strengthen the psychological care of patients with facial paralysis,can improve the patients with adverse psychological state,promote disease recovery,reduce hospitalization costs,and shorter hospital stay,improve patients' satisfaction,and so on.Standardization and procedures of the clinical path of psychological care,patients can get the best care services and health education effect,while enhancing the nurses' professional knowledge level and job satisfaction.
