中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
9期
1058-1062
,共5页
调查问卷%压力%满意度%心脏介入%临床护理路径
調查問捲%壓力%滿意度%心髒介入%臨床護理路徑
조사문권%압력%만의도%심장개입%림상호리로경
Questionnaire survey%Pressure%Satisfaction%Cardiac intervention%Clinical care path
目的：探讨临床护理路径在心脏介入治疗中的应用及对缓解护理工作压力的影响。方法随机选择2013年1—12月在德州市市立医院介入科采取临床护理路径后应用心脏介入治疗的患者为研究组,2012年1—12月采取临床护理路径前应用心脏介入手术治疗的患者为对照组,对开展临床护理路径前后两组患者住院时间、对护理工作的满意度、护理记录书写时间以及护士护理工作压力评分进行对比分析。结果研究组患者平均住院时间为(7.8±1.1)d,短于对照组,差异有统计学意义(t=4.828,P<0.01)。研究组患者对护理工作满意度评分为(24.6±2.8)分,高于对照组,差异有统计学意义(t=4.739, P<0.01)。研究组患者住院期间各时间点护理记录书写时间均较对照组缩短,差异均有统计学意义( t值分别为5.869,5.402,6.537,5.618,4.498,5.724；P<0.01)。开展心脏介入治疗临床护理路径后,护士工作压力源与护士工作疲倦感得分均优于开展前,差异有统计学意义( t值分别为4.006,2.641,2.333,2.306,5.623；P<0.05)。结论对心脏介入治疗患者实施临床护理路径不仅能缩短住院时间,提高患者对护理工作的满意度,而且能有效缩短住院期间各时间点的护理记录书写时间,减轻护士工作压力。
目的：探討臨床護理路徑在心髒介入治療中的應用及對緩解護理工作壓力的影響。方法隨機選擇2013年1—12月在德州市市立醫院介入科採取臨床護理路徑後應用心髒介入治療的患者為研究組,2012年1—12月採取臨床護理路徑前應用心髒介入手術治療的患者為對照組,對開展臨床護理路徑前後兩組患者住院時間、對護理工作的滿意度、護理記錄書寫時間以及護士護理工作壓力評分進行對比分析。結果研究組患者平均住院時間為(7.8±1.1)d,短于對照組,差異有統計學意義(t=4.828,P<0.01)。研究組患者對護理工作滿意度評分為(24.6±2.8)分,高于對照組,差異有統計學意義(t=4.739, P<0.01)。研究組患者住院期間各時間點護理記錄書寫時間均較對照組縮短,差異均有統計學意義( t值分彆為5.869,5.402,6.537,5.618,4.498,5.724；P<0.01)。開展心髒介入治療臨床護理路徑後,護士工作壓力源與護士工作疲倦感得分均優于開展前,差異有統計學意義( t值分彆為4.006,2.641,2.333,2.306,5.623；P<0.05)。結論對心髒介入治療患者實施臨床護理路徑不僅能縮短住院時間,提高患者對護理工作的滿意度,而且能有效縮短住院期間各時間點的護理記錄書寫時間,減輕護士工作壓力。
목적：탐토림상호리로경재심장개입치료중적응용급대완해호리공작압력적영향。방법수궤선택2013년1—12월재덕주시시립의원개입과채취림상호리로경후응용심장개입치료적환자위연구조,2012년1—12월채취림상호리로경전응용심장개입수술치료적환자위대조조,대개전림상호리로경전후량조환자주원시간、대호리공작적만의도、호리기록서사시간이급호사호리공작압력평분진행대비분석。결과연구조환자평균주원시간위(7.8±1.1)d,단우대조조,차이유통계학의의(t=4.828,P<0.01)。연구조환자대호리공작만의도평분위(24.6±2.8)분,고우대조조,차이유통계학의의(t=4.739, P<0.01)。연구조환자주원기간각시간점호리기록서사시간균교대조조축단,차이균유통계학의의( t치분별위5.869,5.402,6.537,5.618,4.498,5.724；P<0.01)。개전심장개입치료림상호리로경후,호사공작압력원여호사공작피권감득분균우우개전전,차이유통계학의의( t치분별위4.006,2.641,2.333,2.306,5.623；P<0.05)。결론대심장개입치료환자실시림상호리로경불부능축단주원시간,제고환자대호리공작적만의도,이차능유효축단주원기간각시간점적호리기록서사시간,감경호사공작압력。
Objective To discuss the effect of clinical nursing path in interventional cardiology, and its impact on relieve of working pressure in nurses. Methods The interventional cardiology patients who used clinical nursing path were selected as the experimental group from January to December in 2013, and patients who used traditional nursing were selected as the control group from January to December in 2012. The length of hospital stay, the satisfaction of nursing job, as well as the writing time of nursing care records and working pressure were compared between the two groups. Results The average length of hospital stay in the experimental group was (7. 8 ± 1. 1) days, which was significantly shorter than that in the control group ( t=4. 828,P<0. 01). The satisfaction score of nursing job in the experimental group was (24. 6 ± 2. 8), which was significantly higher than that in the control group (t=4. 739,P<0. 01). The nursing care records writing time of each time point in the experimental group nurses was significantly shorter than those in the control group ( t=5. 869, 5. 402, 6. 537, 5. 618, 4. 498, 5. 724, respectively;P<0. 01). Emotional fatigue and apathy for work of nurses were significantly lower than before, and the personal accomplishment score was significantly higher than before, and the differences were statistically significant ( t = 4. 006, 2. 641, 2. 333, 2. 306, 5. 623, respectively;P<0. 05). Conclusions Patients with cardiac intervention who used the clinical nursing path cannot only shorten the hospital stay significantly and improve the satisfaction of nursing job, but also can effectively shorten the writing time of the nursing care records, and reduce nurses′working pressure.
