中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
12期
1402-1405
,共4页
白内障%围手术期护理%临床护理研究%临床护理路径
白內障%圍手術期護理%臨床護理研究%臨床護理路徑
백내장%위수술기호리%림상호리연구%림상호리로경
Cataract%Perioperative nursing%Clinical nursing research%Clinical pathway of nursing
目的 观察临床护理路径在白内障患者围手术期护理中的应用效果,探讨提高白内障患者围手术期护理质量的措施.方法 选择白内障手术患者80例,随机分为对照组40例和临床路径组40例,对照组患者围手术期实行常规专科护理,临床路径组患者围手术期在临床路径下实行专科护理,于住院时、手术前1d和手术后第2天比较两组患者的汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评分,于出院前1d比较两组患者健康知识掌握情况及对住院期间的护理满意度,出院后第2周门诊随访比较两组患者视力恢复情况.结果 临床路径组患者手术前1d和手术后第2天的HAMD评分分别为(23.4±2.7),(19.5±2.2)分,对照组分别为(30.5±3.1),(25.3±2.8)分,两组比较差异均有统计学意义(t值分别为2.013,2.237；P＜0.05).临床路径组患者手术前1d和手术后第2天的HAMA评分分别为(24.1±3.3),(20.3±2.5)分,对照组分别为(31.7±3.6),(26.8±3.0)分,两组比较差异均有统计学意义(t值分别为2.263,2.371；P ＜0.05).两组健康知识掌握例数与临床护理满意度比较,差异均具有统计学意义(P＜0.05)；出院后第2周视力＜0.3和视力＞0.6的例数比较,差异均具有统计学意义(P＜0.05),临床路径组均显著优于对照组.结论 应用临床护理路径对白内障患者进行围手术期护理,可有效缓解患者的负性情绪,提高患者对健康知识的掌握率与临床护理的满意度,促进患者的术后恢复.
目的 觀察臨床護理路徑在白內障患者圍手術期護理中的應用效果,探討提高白內障患者圍手術期護理質量的措施.方法 選擇白內障手術患者80例,隨機分為對照組40例和臨床路徑組40例,對照組患者圍手術期實行常規專科護理,臨床路徑組患者圍手術期在臨床路徑下實行專科護理,于住院時、手術前1d和手術後第2天比較兩組患者的漢密爾頓抑鬱量錶(HAMD)及漢密爾頓焦慮量錶(HAMA)評分,于齣院前1d比較兩組患者健康知識掌握情況及對住院期間的護理滿意度,齣院後第2週門診隨訪比較兩組患者視力恢複情況.結果 臨床路徑組患者手術前1d和手術後第2天的HAMD評分分彆為(23.4±2.7),(19.5±2.2)分,對照組分彆為(30.5±3.1),(25.3±2.8)分,兩組比較差異均有統計學意義(t值分彆為2.013,2.237；P＜0.05).臨床路徑組患者手術前1d和手術後第2天的HAMA評分分彆為(24.1±3.3),(20.3±2.5)分,對照組分彆為(31.7±3.6),(26.8±3.0)分,兩組比較差異均有統計學意義(t值分彆為2.263,2.371；P ＜0.05).兩組健康知識掌握例數與臨床護理滿意度比較,差異均具有統計學意義(P＜0.05)；齣院後第2週視力＜0.3和視力＞0.6的例數比較,差異均具有統計學意義(P＜0.05),臨床路徑組均顯著優于對照組.結論 應用臨床護理路徑對白內障患者進行圍手術期護理,可有效緩解患者的負性情緒,提高患者對健康知識的掌握率與臨床護理的滿意度,促進患者的術後恢複.
목적 관찰림상호리로경재백내장환자위수술기호리중적응용효과,탐토제고백내장환자위수술기호리질량적조시.방법 선택백내장수술환자80례,수궤분위대조조40례화림상로경조40례,대조조환자위수술기실행상규전과호리,림상로경조환자위수술기재림상로경하실행전과호리,우주원시、수술전1d화수술후제2천비교량조환자적한밀이돈억욱량표(HAMD)급한밀이돈초필량표(HAMA)평분,우출원전1d비교량조환자건강지식장악정황급대주원기간적호리만의도,출원후제2주문진수방비교량조환자시력회복정황.결과 림상로경조환자수술전1d화수술후제2천적HAMD평분분별위(23.4±2.7),(19.5±2.2)분,대조조분별위(30.5±3.1),(25.3±2.8)분,량조비교차이균유통계학의의(t치분별위2.013,2.237；P＜0.05).림상로경조환자수술전1d화수술후제2천적HAMA평분분별위(24.1±3.3),(20.3±2.5)분,대조조분별위(31.7±3.6),(26.8±3.0)분,량조비교차이균유통계학의의(t치분별위2.263,2.371；P ＜0.05).량조건강지식장악례수여림상호리만의도비교,차이균구유통계학의의(P＜0.05)；출원후제2주시력＜0.3화시력＞0.6적례수비교,차이균구유통계학의의(P＜0.05),림상로경조균현저우우대조조.결론 응용림상호리로경대백내장환자진행위수술기호리,가유효완해환자적부성정서,제고환자대건강지식적장악솔여림상호리적만의도,촉진환자적술후회복.
Objective To observe the clinical effect of clinical pathway of nursing (CPN) on the cataract patients in the perioperative nursing and to research the measures to improve the nursing quality of it.Methods Totals of 80 cataract patients were collected and randomly divided into control group (n =40) and clinical pathway group (n =40).The Hamilton Depression Scale (HAMD) score and Hamilton Anxiety Scale (HAMA) score at admission,1 d before surgery and 2 d after surgery,the grasp rate of health knowledge and the nursing satisfaction before discharge,the recovery of vision acuity at the second week after discharge were observed and compared between two groups.Results The HAMD score at 1 d before surgery and 2 d after surgery was (23.4 ± 2.7),(19.5 ± 2.2) in clinical pathway group and (30.5 ± 3.1),(25.3 ± 2.8) in control group,and there was a statistical significant difference between two groups (t =2.013,2.237; P ＜0.05).The HAMA score at 1 d before surgery and 2 d after surgery was (24.1 ± 3.3),(20.3 ± 2.5) in clinical pathway group and (31.7 ± 3.6),(26.8 ± 3.0) in control group,and there was a statistical significant difference between two groups (t =2.263,2.371 ; P ＜ 0.05).There was a statistical significant difference between two groups as well as the grasp rate of health knowledge and the nursing satisfaction before discharge (P ＜ 0.05).And significant difference was found in the cases number of eyesight ＜ 0.3 and eyesight ＞ 0.6 at second week after discharge between control group and clinical pathway group(P ＜0.05).Conclusions CPN should be actively promoted in the cataract patients in the perioperative nursing,and it could effectively alleviate the negative emotions,improve the grasp rate of health knowledge and the nursing satisfaction and promote the patient's postoperative recovery.
