临床护理路径在ARDS患者机械通气中的效果评价  

Effect of clinical nursing pathway on the mechanical ventilation effect of ARDS patients

作　　者：陈莲芳[1] 陶方萍[1] 史倩[1] 魏登慧[1] 

机构地区：[1]蚌埠医学院第一附属医院ICU,233004

出　　处：《中国实用护理杂志》2011年第16期15-18,共4页Chinese Journal of Practical Nursing

基　　金：安徽省自然科学研究项目（KJ20098224Z）

摘　　要：目的探讨临床护理路径（clinical nursing pathway，CNP）护理模式在ARDS机械通气中的应用效果。方法选择2008年6月至2010年12月人住ICU的59例实施机械通气的ARDS患者，随机分为观察组30例和对照组29例，对照组采用传统的整体护理模式，按常规进行机械通气的监测、治疗和护理；观察组按制订好的临床护理路径进行护理。比较2组患者呼吸机应用时间、机械通气并发症发生率、患者及家属满意度等指标。结果观察组患者呼吸机应用时间少于对照组，机械通气并发症发生率低于对照组，患者及家属满意度优于对照组。结论临床护理路径用于ARDS机械通气中，能缩短机械通气时间，降低机械通气并发症发生率，提高患者及家属对护理工作的满意度。Objective To investigate the effect of clinical nursing pathway on mechanical ventilation effect of ARDS patients. Methods 59 ARDS patients with mechanical ventilation from June 2008 to December 2010 were randomly divided into the observation group （30 cases）and the control group （29 cases）. The control group used the traditional care model, conventional mechanical ventilation monitoring, treatment and care according to routine measures; the observation group used clinical nursing pathway. The mechanical ventilation time, complication rate of mechanical ventilation, and the gratification level of patients in the two groups of patients were observed. Results The mechanical ventilation time in the observation group was less than the control group, and incidence of complications was lower, and satisfaction degree of patients and their families was better, the difference was statistically significant. Conclusions The clinical nursing pathway can shorten the time of mechanical ventilation, lower incidence of complications of mechanical ventilation, and it improves satisfaction degree of patients and their families.

关 键 词：临床护理路径 ARDS 机械通气 

分 类 号：R473.5[医药卫生—护理学]