临床护理路径在尘肺病患者康复中应用效果评价  

Evaluating the application effect of clinical nursing pathway in rehabilitation of pneumoconiosis patients

作　　者：虢远宁 陈英姿[1] 甘雯珍[1] 汤春宜[1] 邱新香[1] GUO Yuanling;CHEN Yingzi;GAN Wenzhen;TANG Chunyi;QIU Xinxiang(Guangdong Province Hospital for Occupational Disease Prevention and Treatment,Guangdong Provincial Key Laboratory of Occupational Disease Prevention and Treatment,Guangzhou,Guangdong 510300,China)

机构地区：[1]广东省职业病防治院,广东省职业病防治重点实验室,广东广州510300

出　　处：《中国职业医学》2020年第3期329-333,共5页China Occupational Medicine

基　　金：国家科技支撑计划项目(2014BAI12B01);国家临床重点专科建设项目(2011-09);广东省职业病防治重点实验室(2017B030314152)

摘　　要：目的评价实施临床护理路径(CNP)对尘肺病患者临床护理的效果。方法采用判断抽样法,选择120例尘肺病患者为研究对象;采用随机数表法分为对照组(60例)和观察组(60例)。对照组患者入院后予以常规治疗与护理,观察组患者入院后在对照组基础上实施CNP。2组患者均实施至出院,采用《一般自我效能量表》《医学应对方式问卷》《生存质量测定量表简表》测量2组患者CNP实施前后的自我效能、应对方式及生存质量。结果 CNP实施前,2组患者自我效能、应对方式3个维度、生活质量4个维度的得分分别比较,差异均无统计学意义(P>0.05)。CNP实施后,与对照组比较,观察组患者自我效能、面对维度、生活质量得分均增加(P<0.01),屈服、回避维度得分降低(P<0.01)。结论实施CNP有利于提高尘肺病患者自我效能感,改善应对方式,提高生活质量。Objective To evaluate the effect of clinical nursing pathway(CNP) on clinical nursing of patients with pneumoconiosis. Methods A total of 120 patients with pneumoconiosis were selected as the subjects by the judgment sampling method. The patients were divided into control group and observation group by random number table method, with 60 cases in each group. The patients in the control group were given routine treatment and nursing after admission, while the patients in the observation group were treated similarly to that of the control group plus CNP. The treatment of patients in both groups were carried out until they were discharged from hospital. General Self-Efficacy Scale, Medical Coping Style Questionnaire and Quality of Life Scale were used to measure the self-efficacy, coping style and of quality of life of these two groups before and after the implementation of CNP. Results Before the implementation of CNP, there was no significant difference in the scores of self-efficacy, three dimensions of coping style and four dimensions quality of life between the two groups(P>0.05). After the implementation of CNP, the scores of self-efficacy, face dimension and quality of life in the observation group were higher than those in the control group(P<0.01). The scores of surrender and avoidance dimensions decreased(P<0.01). Conclusion The implementation of CNP can improve the self-efficacy, coping style and quality of life of pneumoconiosis patients.

关 键 词：临床护理路径 尘肺病 自我效能 应对方式 生活质量 康复 效果评价 

分 类 号：R135[医药卫生—劳动卫生]