CAJ | 학술논문

目的：探讨临床护理路径（clinical nursing pathway，CNP）在经皮肾镜取石术（percutaneous nephrolithotripsy， PCNL）患者健康教育中的应用效果。方法将本院泌尿外科收治的90例采取PCNL肾结石患者随机分为观察组与对照组，每组各45例，对照组患者住院期间采用传统健康教育方法，观察组患者住院期间应用CNP健康教育方法。比较两组患者对健康教育知识得分及掌握情况、对护理工作满意度、术后置管脱管率情况。结果两组患者健康教育知识得分、对护理工作满意度、并发症（管道脱落）发生率比较，均P＜0.05，差异具有统计学意义，观察组健康教育知识得分及掌握情况、对护理工作满意度明显高于对照组，管道脱落发生率明显低于对照组。结论 PCNL患者应用CNP健康教育方法优于传统健康教育方法，其可提高患者健康教育质量及患者对护理工作满意度，值得临床推广应用。
목적：탐토림상호리로경（clinical nursing pathway，CNP）재경피신경취석술（percutaneous nephrolithotripsy， PCNL）환자건강교육중적응용효과。방법장본원비뇨외과수치적90례채취PCNL신결석환자수궤분위관찰조여대조조，매조각45례，대조조환자주원기간채용전통건강교육방법，관찰조환자주원기간응용CNP건강교육방법。비교량조환자대건강교육지식득분급장악정황、대호리공작만의도、술후치관탈관솔정황。결과량조환자건강교육지식득분、대호리공작만의도、병발증（관도탈락）발생솔비교，균P＜0.05，차이구유통계학의의，관찰조건강교육지식득분급장악정황、대호리공작만의도명현고우대조조，관도탈락발생솔명현저우대조조。결론 PCNL환자응용CNP건강교육방법우우전통건강교육방법，기가제고환자건강교육질량급환자대호리공작만의도，치득림상추엄응용。
Objective To study the role of clinical nursing pathway (CNP)in health education for patients undergoing percutaneous nephrolithotomy (PCNL).Methods Ninety patients with PCNL were randomized into the observation group and the control group in equal number: the former received CNP health education and the latter routine health education while hospitalization. The two groups were compared in terms of scores on health education,satisfaction with nursing,incidence of postoperative extubation and hospital stay.Result The scores on health education,satisfaction with nursing and incidence of postoperative extubation in the observation group were all significantly higher than those of the control group (allP<0.05) and the hospital stay in the former was significantly shorter than that of the latter (P<0.05).Conclusions PCNL in use of CNP health education can promote patients’ health education quality,reduce their incidence of extubation,shorten their hospital stays and improve their satisfaction of nursing. It is worthy of clinical promotion and application.