中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
10期
144-145,148
,共3页
临床护理路径%重度支气管哮喘%效果
臨床護理路徑%重度支氣管哮喘%效果
림상호리로경%중도지기관효천%효과
Clinical nursing pathway%Severe bronchial asthma
目的:探讨临床护理路径在重度支气管哮喘患者中的应用效果。方法选取该院2012年8月—2014年8月收治的148例重症支气管哮喘患者,随机将其分为对照组与干预组各74例,对照组患者仅采用常规护理措施,干预组患者则开展临床护理路径,比较两组病例护理后症状消失时间、认知程度、遵医行为及满意程度,并行临床应用价值分析。结果干预组患者的症状消失时间为(9.8±3.9)d,认知率为82.4%,遵医率为91.9%,满意率为97.3%,均显著好于对照组,差异有统计学意义(P<0.05);同时,该组患者的FEV1为(2.2±0.3)L,PEF为(6.3±0.3)L/s,FEV1/FVC为(66.9±4.0)%,亦明显好于对照组,差异有统计学意义(P<0.05)。结论针对重症支气管哮喘患者采用临床护理路径可显著提高病症与肺功能改善效果,并良好提升临床认知率、遵医率及满意程度,值得广泛推广应用。
目的:探討臨床護理路徑在重度支氣管哮喘患者中的應用效果。方法選取該院2012年8月—2014年8月收治的148例重癥支氣管哮喘患者,隨機將其分為對照組與榦預組各74例,對照組患者僅採用常規護理措施,榦預組患者則開展臨床護理路徑,比較兩組病例護理後癥狀消失時間、認知程度、遵醫行為及滿意程度,併行臨床應用價值分析。結果榦預組患者的癥狀消失時間為(9.8±3.9)d,認知率為82.4%,遵醫率為91.9%,滿意率為97.3%,均顯著好于對照組,差異有統計學意義(P<0.05);同時,該組患者的FEV1為(2.2±0.3)L,PEF為(6.3±0.3)L/s,FEV1/FVC為(66.9±4.0)%,亦明顯好于對照組,差異有統計學意義(P<0.05)。結論針對重癥支氣管哮喘患者採用臨床護理路徑可顯著提高病癥與肺功能改善效果,併良好提升臨床認知率、遵醫率及滿意程度,值得廣汎推廣應用。
목적:탐토림상호리로경재중도지기관효천환자중적응용효과。방법선취해원2012년8월—2014년8월수치적148례중증지기관효천환자,수궤장기분위대조조여간예조각74례,대조조환자부채용상규호리조시,간예조환자칙개전림상호리로경,비교량조병례호리후증상소실시간、인지정도、준의행위급만의정도,병행림상응용개치분석。결과간예조환자적증상소실시간위(9.8±3.9)d,인지솔위82.4%,준의솔위91.9%,만의솔위97.3%,균현저호우대조조,차이유통계학의의(P<0.05);동시,해조환자적FEV1위(2.2±0.3)L,PEF위(6.3±0.3)L/s,FEV1/FVC위(66.9±4.0)%,역명현호우대조조,차이유통계학의의(P<0.05)。결론침대중증지기관효천환자채용림상호리로경가현저제고병증여폐공능개선효과,병량호제승림상인지솔、준의솔급만의정도,치득엄범추엄응용。
[ Objective To investigate the application effect of clinical nursing pathway on severe bronchial asthma. Methods 148 cases with severe bronchial asthma admitted in our hospital from August 2012 to August 2014 were selected and randomly divided into the control group and the intervention group with 74 cases in each. The control group were only treated by the conventional nursing, while the intervention group were treated by the clinical nursing pathway. After nursing, the symptoms disappearing time, cognitive level, compliance behavior and satisfaction were compared between the two groups, and the clinical application value was analyzed. Results In the intervention group, the symptoms disappearing time was (9.8±3.9)d, cognition rate was 82.4%, compliance rate was 91.9%, satisfaction rate was 97.3%, which was significantly better than that of the control group, respectively, with statistical significance(P<0.05);in the intervention group, the FEV1 was (2.2±0.3)L, PEF was (6.3±0.3) L/s, FEV1/FVC was (66.9±4.0)%, much better than that of the control group, respectively with statistical significance(P<0.05). Conclusion For patients with severe bronchial asthma, clinical nursing pathway can significantly improve the symptoms and lung function, enhance the clinical cognition rate, compliance rate and degree of satisfaction, therefore it is worthy of wide application and promotion.