中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
4期
410-413
,共4页
刘爽%王福莉%詹奇%蔡文芳%肖静%盖小博%杨雷
劉爽%王福莉%詹奇%蔡文芳%肖靜%蓋小博%楊雷
류상%왕복리%첨기%채문방%초정%개소박%양뢰
临床路径%垂体腺瘤%围手术期护理
臨床路徑%垂體腺瘤%圍手術期護理
림상로경%수체선류%위수술기호리
Clinical pathway%Pituitary tumor%Perioperative nursing
目的:总结在临床路径模式下经鼻蝶窦入路切除垂体腺瘤临床护理经验和体会。方法回顾性分析某院2011年1月—2012年6月收治的62例经鼻蝶窦入路垂体腺瘤切除术患者,并采用随机数字表法分为临床路径组和对照组,分别采用临床护理路径和常规护理。比较两组患者的住院时间、费用、对健康教育知识掌握度和对医护人员的满意度。结果临床路径组患者平均住院时间为(12.41±1.12)d,平均住院费用(24568±158)元,均低于对照组的(14.56±1.56)d,(27431±287)元,差异有统计学意义(t值分别为6.25,48.65;P<0.01)。临床路径组健康教育知识掌握度及对医护人员的满意度分别为48.4%,83.9%,均高于对照组的19.3%,54.8%,差异有统计学意义(P<0.05)。结论通过临床路径制定的标准化治疗方案,可提高经鼻蝶窦入路切除垂体腺瘤患者的健康教育知识掌握度和对医护工作的满意度,并提高医疗护理质量。
目的:總結在臨床路徑模式下經鼻蝶竇入路切除垂體腺瘤臨床護理經驗和體會。方法迴顧性分析某院2011年1月—2012年6月收治的62例經鼻蝶竇入路垂體腺瘤切除術患者,併採用隨機數字錶法分為臨床路徑組和對照組,分彆採用臨床護理路徑和常規護理。比較兩組患者的住院時間、費用、對健康教育知識掌握度和對醫護人員的滿意度。結果臨床路徑組患者平均住院時間為(12.41±1.12)d,平均住院費用(24568±158)元,均低于對照組的(14.56±1.56)d,(27431±287)元,差異有統計學意義(t值分彆為6.25,48.65;P<0.01)。臨床路徑組健康教育知識掌握度及對醫護人員的滿意度分彆為48.4%,83.9%,均高于對照組的19.3%,54.8%,差異有統計學意義(P<0.05)。結論通過臨床路徑製定的標準化治療方案,可提高經鼻蝶竇入路切除垂體腺瘤患者的健康教育知識掌握度和對醫護工作的滿意度,併提高醫療護理質量。
목적:총결재림상로경모식하경비접두입로절제수체선류림상호리경험화체회。방법회고성분석모원2011년1월—2012년6월수치적62례경비접두입로수체선류절제술환자,병채용수궤수자표법분위림상로경조화대조조,분별채용림상호리로경화상규호리。비교량조환자적주원시간、비용、대건강교육지식장악도화대의호인원적만의도。결과림상로경조환자평균주원시간위(12.41±1.12)d,평균주원비용(24568±158)원,균저우대조조적(14.56±1.56)d,(27431±287)원,차이유통계학의의(t치분별위6.25,48.65;P<0.01)。림상로경조건강교육지식장악도급대의호인원적만의도분별위48.4%,83.9%,균고우대조조적19.3%,54.8%,차이유통계학의의(P<0.05)。결론통과림상로경제정적표준화치료방안,가제고경비접두입로절제수체선류환자적건강교육지식장악도화대의호공작적만의도,병제고의료호리질량。
Objective To review and summarize our experiences in nursing of patients with pituitary adenoma who were treated via transsphenoidal resection and subordinated to a standardized clinical pathway. Methods From January 2011 to June 2012, a series of 62 consecutive cases that undergone transsphenoidal resection were enrolled and retrospectively analyzed. Patients were randomly distributed to either clinical pathway group in which a standardized clinical pathway was assigned, or control group in which normal nursing services were offered. Hospitalization days, costs, satisfaction with medical workers and the knowledge of health education were compared between the two groups. Results The average hospitalized days of clinical pathway group were (12. 41 ± 1. 12)d and the costs of clinical pathway group were (24 568 ± 158) yuan, which were (14. 56 ± 1. 56)d and (27 431 ± 287) yuan in control group respectively, and the differences were statically significant (t=6. 25,48. 65,respectively;P<0. 01). The understanding degree to health education knowledge and the satisfaction with nurses of the clinical pathway group were 48. 4% and 83. 9%,which better than 19. 3%and 54. 8% in the control group (P < 0. 05). Conclusions The clinical pathway could increase the understanding degree to health education knowledge and the satisfaction with nurses of patients with pituitary adenoma who are treated via transsphenoidal resection, and guarante the quality of medical and nursing care.