中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
19期
2269-2272
,共4页
临床路径%护理%糖尿病,2型%自护行为%满意度
臨床路徑%護理%糖尿病,2型%自護行為%滿意度
림상로경%호리%당뇨병,2형%자호행위%만의도
Clinical pathway%Nursing%Diabetes mellitus,type 2%Self care behavior%Satisfaction
目的 探讨标准化临床护理路径(CNP)规范化管理对糖尿病患者临床护理质量的影响.方法 将600例2型糖尿病患者按随机数字表法随机分为研究组和对照组各300例,研究组参与CNP规范化管理,对照组接受传统护理.在患者出院时比较两组患者及家属满意度、糖尿病自护行为评分以及患者的住院天数和住院费用.结果 出院时,研究组患者和家属满意度为96.72％,对照组为81.28％,两组比较差异有统计学意义(x2 =2.12,P＜0.05)；研究组住院天数、住院费用分别为(10.42±1.28)d,(4221.43 ±216.56)元,对照组分别为(13.17±2.33)d,(5 506.52±496.18)元,两组比较差异均有统计学意义(t值分别为6.73,16.11;P＜0.01)；研究组糖尿病自护行为总体饮食、具体饮食、运动、血糖监测、足护理和吸烟评分分别为(6.11±0.78),(6.23±0.57),(6.11 ±0.78),(5.90±0.86),(6.23±0.54),(5.98±0.75)分,对照组分别为(5.22±1.33),(5.29±0.83),(5.62±1.04),(5.41±1.11),(5.15±1.48) (5.46±1.37)分,两组比较差异均有统计学意义(t值分别为3.90,5.78,2.66,2.76,3.50,2.56;P ＜0.05).结论 实施CNP标准化管理增强了糖尿病患者参与意识,有助于提高临床护理质量.
目的 探討標準化臨床護理路徑(CNP)規範化管理對糖尿病患者臨床護理質量的影響.方法 將600例2型糖尿病患者按隨機數字錶法隨機分為研究組和對照組各300例,研究組參與CNP規範化管理,對照組接受傳統護理.在患者齣院時比較兩組患者及傢屬滿意度、糖尿病自護行為評分以及患者的住院天數和住院費用.結果 齣院時,研究組患者和傢屬滿意度為96.72％,對照組為81.28％,兩組比較差異有統計學意義(x2 =2.12,P＜0.05)；研究組住院天數、住院費用分彆為(10.42±1.28)d,(4221.43 ±216.56)元,對照組分彆為(13.17±2.33)d,(5 506.52±496.18)元,兩組比較差異均有統計學意義(t值分彆為6.73,16.11;P＜0.01)；研究組糖尿病自護行為總體飲食、具體飲食、運動、血糖鑑測、足護理和吸煙評分分彆為(6.11±0.78),(6.23±0.57),(6.11 ±0.78),(5.90±0.86),(6.23±0.54),(5.98±0.75)分,對照組分彆為(5.22±1.33),(5.29±0.83),(5.62±1.04),(5.41±1.11),(5.15±1.48) (5.46±1.37)分,兩組比較差異均有統計學意義(t值分彆為3.90,5.78,2.66,2.76,3.50,2.56;P ＜0.05).結論 實施CNP標準化管理增彊瞭糖尿病患者參與意識,有助于提高臨床護理質量.
목적 탐토표준화림상호리로경(CNP)규범화관리대당뇨병환자림상호리질량적영향.방법 장600례2형당뇨병환자안수궤수자표법수궤분위연구조화대조조각300례,연구조삼여CNP규범화관리,대조조접수전통호리.재환자출원시비교량조환자급가속만의도、당뇨병자호행위평분이급환자적주원천수화주원비용.결과 출원시,연구조환자화가속만의도위96.72％,대조조위81.28％,량조비교차이유통계학의의(x2 =2.12,P＜0.05)；연구조주원천수、주원비용분별위(10.42±1.28)d,(4221.43 ±216.56)원,대조조분별위(13.17±2.33)d,(5 506.52±496.18)원,량조비교차이균유통계학의의(t치분별위6.73,16.11;P＜0.01)；연구조당뇨병자호행위총체음식、구체음식、운동、혈당감측、족호리화흡연평분분별위(6.11±0.78),(6.23±0.57),(6.11 ±0.78),(5.90±0.86),(6.23±0.54),(5.98±0.75)분,대조조분별위(5.22±1.33),(5.29±0.83),(5.62±1.04),(5.41±1.11),(5.15±1.48) (5.46±1.37)분,량조비교차이균유통계학의의(t치분별위3.90,5.78,2.66,2.76,3.50,2.56;P ＜0.05).결론 실시CNP표준화관리증강료당뇨병환자삼여의식,유조우제고림상호리질량.
Objective To investigate the effect of standardized management with clinical nursing pathway(CNP) on clinical nursing quality of patients with diabetes.Methods Six-hundred patients with type 2 diabetes were randomly divided into the experimental group and the control group,each with 300 cases.The experimental group received standardized management with CNP while the control group received traditional nursing.Satisfaction of patients and families,self-care behaviors,as well as days and expense of hospitalization were compared between two groups.Results The satisfaction rate of patients and families was 96.72％ in the experimental group and 81.28％ in the control group,and the difference was statistically significant (x2 =2.12,P ＜ 0.05).The days and expense of hospitalization was (10.42 ± 1.28) d and ￥ (4 221.43 ± 216.56) in the experimental group,(13.17 ± 2.33) d and ￥ (5 506.52 ± 496.18) in the control group,and the differences were statistically significant (t =6.73,16.11,respectively ;P ＜ 0.01).The score of overall dietary,specific dietary,exercise,blood glucose monitoring,foot care and smoking in self care behaviors was (6.11 ± 0.78),(6.23 ± 0.57),(6.11 ± 0.78),(5.90 ± 0.86),(6.23 ± 0.54),(5.98 ± 0.75) in the experimental group,(5.22 ± 1.33),(5.29 ±0.83),(5.62 ± 1.04),(5.41 ± 1.11),(5.15 ± 1.48),(5.46 ± 1.37)in the control group,and the differences was statistically significant (t =3.90,5.78,2.66,2.76,3.50,2.56,respectively;P ＜ 0.05).Conclusions Standardized management with CNP can enhance the sense of participation and improve the quality of clinical,nursing for patients with diabetes.
