CAJ | 학술논문

目的：探讨临床护理路径的编制、实施及在显微外科感染创面负压封闭引流( VSD)治疗中的应用效果，规范VSD治疗的护理管理。方法选择2013年1—11月符合条件同意进行VSD治疗并实施临床护理路径的患者50例，为观察组；回顾性分析2012年1—12月行VSD治疗并实施常规护理的50例患者，为对照组，通过查阅电子病历和VSD治疗记录，收集临床数据进行对比分析。对VSD治疗期间患者的健康知识、自身责任感、健康责任等指标进行评价，完善和论证临床护理路径。结果观察组患者的健康知识、自我责任感、健康责任、压力处理、患者满意度得分分别为(55.47±4.41)，(25.53±1.60)，(26.12±2.21)，(23.96±2.14)，(3.80±0.39)分，均高于对照组，差异有统计学意义(P<0.01)。结论“临床护理路径适合VSD治疗显微外科感染创面患者的护理，能为患者提供优质护理服务，提高患者满意度，并取得了良好的经济效益和社会效益，对护理过程管理具有指导意义，值得在临床推广应用。
목적：탐토림상호리로경적편제、실시급재현미외과감염창면부압봉폐인류( VSD)치료중적응용효과，규범VSD치료적호리관리。방법선택2013년1—11월부합조건동의진행VSD치료병실시림상호리로경적환자50례，위관찰조；회고성분석2012년1—12월행VSD치료병실시상규호리적50례환자，위대조조，통과사열전자병력화VSD치료기록，수집림상수거진행대비분석。대VSD치료기간환자적건강지식、자신책임감、건강책임등지표진행평개，완선화론증림상호리로경。결과관찰조환자적건강지식、자아책임감、건강책임、압력처리、환자만의도득분분별위(55.47±4.41)，(25.53±1.60)，(26.12±2.21)，(23.96±2.14)，(3.80±0.39)분，균고우대조조，차이유통계학의의(P<0.01)。결론“림상호리로경괄합VSD치료현미외과감염창면환자적호리，능위환자제공우질호리복무，제고환자만의도，병취득료량호적경제효익화사회효익，대호리과정관리구유지도의의，치득재림상추엄응용。
Objective To explore the prepare and implement the report of Clinical nursing path and its nursing application effects of micro-surgical wound infection, and regulate nursing management of VSD treatment. Methods A total of 50 patients received VSD treatment with clinical nursing path as experimental group during January to November 2013, and regression analysis 50 patients underwent VSD treatment and routine nursing during January to December 2012 as control group. All clinical data collected and analyzed. During VSD treatment, the index of health knowledge, sense of self-responsibility, and health duty in patients had been assessed effects in order to perfect and prove Clinical nursing path. Results The health knowledge, sense of self-responsibility, health duty, stress management, and patients satisfaction were (55. 47 ± 4. 41), (25. 53 ± 1. 60), (26. 12 ± 2. 21), (23. 96 ± 2. 14) and (3. 80 ± 0. 39) higher than these of the control group (P<0. 01). Conclusions Clinical nursing path is an effective method to treat wound infection of micro-surgery by VSD treatment, and can provide a quality nursing service, and enhance patients′satisfaction. It can acquire an excellence economic benefits and has a certain application value for nursing process management.