现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
7期
39-42
,共4页
林志斌%罗小清%吴小娇%李华斌
林誌斌%囉小清%吳小嬌%李華斌
림지빈%라소청%오소교%리화빈
变应性鼻炎%皮下免疫治疗%临床护理路径%治疗依从性
變應性鼻炎%皮下免疫治療%臨床護理路徑%治療依從性
변응성비염%피하면역치료%림상호리로경%치료의종성
allergic rhinitis%subcutaneous immunotherapy%clinical nursing pathway%treatment compliance
目的探讨临床护理路径（clinical nurse pathways，CNP）在变应性鼻炎患者皮下免疫治疗中的应用效果。方法将120例行皮下免疫治疗的变应性鼻炎患者随机分为观察组和对照组，每组各60例，观察组患者采用临床路径护理模式，对照组实施常规护理。观察两组患者皮下免疫治疗疗效、局部不良反应、治疗依从性、患者满意度及生活质量情况。结果两组患者治疗半年、1年、2年、3年症状评分重复测量资料分析结果：时间与主效应交互效应比较，F＝678.24，P＜0.01，说明两组患者不同时间点症状评分是不相等的；时间效应比较，F＝47.16，P＜0.01，说明随着免疫治疗时间延长，两组患者症状评分均有下降趋势；不同时间段两组患者症状评分比较，均 P＜0.01，观察组患者症状评分明显低于对照组。两组患者治疗局部不良反应、治疗依从性、生活质量、满意度比较，均 P＜0.01，差异具有统计学意义，观察组优于对照组。结论临床路径可以提高患者治疗依从性，提高免疫治疗疗效，改善患者生活质量和提高患者满意度。
目的探討臨床護理路徑（clinical nurse pathways，CNP）在變應性鼻炎患者皮下免疫治療中的應用效果。方法將120例行皮下免疫治療的變應性鼻炎患者隨機分為觀察組和對照組，每組各60例，觀察組患者採用臨床路徑護理模式，對照組實施常規護理。觀察兩組患者皮下免疫治療療效、跼部不良反應、治療依從性、患者滿意度及生活質量情況。結果兩組患者治療半年、1年、2年、3年癥狀評分重複測量資料分析結果：時間與主效應交互效應比較，F＝678.24，P＜0.01，說明兩組患者不同時間點癥狀評分是不相等的；時間效應比較，F＝47.16，P＜0.01，說明隨著免疫治療時間延長，兩組患者癥狀評分均有下降趨勢；不同時間段兩組患者癥狀評分比較，均 P＜0.01，觀察組患者癥狀評分明顯低于對照組。兩組患者治療跼部不良反應、治療依從性、生活質量、滿意度比較，均 P＜0.01，差異具有統計學意義，觀察組優于對照組。結論臨床路徑可以提高患者治療依從性，提高免疫治療療效，改善患者生活質量和提高患者滿意度。
목적탐토림상호리로경（clinical nurse pathways，CNP）재변응성비염환자피하면역치료중적응용효과。방법장120례행피하면역치료적변응성비염환자수궤분위관찰조화대조조，매조각60례，관찰조환자채용림상로경호리모식，대조조실시상규호리。관찰량조환자피하면역치료료효、국부불량반응、치료의종성、환자만의도급생활질량정황。결과량조환자치료반년、1년、2년、3년증상평분중복측량자료분석결과：시간여주효응교호효응비교，F＝678.24，P＜0.01，설명량조환자불동시간점증상평분시불상등적；시간효응비교，F＝47.16，P＜0.01，설명수착면역치료시간연장，량조환자증상평분균유하강추세；불동시간단량조환자증상평분비교，균 P＜0.01，관찰조환자증상평분명현저우대조조。량조환자치료국부불량반응、치료의종성、생활질량、만의도비교，균 P＜0.01，차이구유통계학의의，관찰조우우대조조。결론림상로경가이제고환자치료의종성，제고면역치료료효，개선환자생활질량화제고환자만의도。
Objective To explore the effect of clinical nursing pathway(CNP)on allergic rhinitis in patients with subcutaneous immunotherapy.Methods One hundred and twenty patients with allergic rhinitis treated with subcutaneous immunotherapy were equally randomized into the observation group and the control group.The former group were managed with clinical nursing pathway and the latter received only routine nursing care.The curative effect of subcutaneous immunotherapy was compared between the two groups including local adverse reactions,treatment compliance,patients' satisfaction and quality of life.Results The scores by symptom assessment at time points of half a year,years 1,2 and 3 showed the symptoms at different time points between the groups were significantly different by the comparison between time and the interactive effect of main effect(F=678.24,P<0.01),and the symptoms in the two groups were both alleviated with the extension of treatment due to the compared time effect at F=47.16, P<0.01.The scores on the symptoms in the observation group were significantly lower than those of the control group at different time points(P<0.01).The experiment group was better than the control group in terms of local adverse reactions,treatment compliance, quality of life and patient's satisfaction(P<0.01)Conclusion Clinical nursing pathway can improve patient's compliance,improve immunotherapy,reduce adverse reactions and improve the quality of life of patients as well as patients' satisfaction.
