临床护理路径在炎症性肠病患者自我管理中的应用  

The application of self-management of clinical nursing pathway in patients with inflammatory bowel disease

作　　者：张殿红[1] 崔梅[1] 廉德花[1] 

机构地区：[1]山东省滕州市中心人民医院,山东滕州277500

出　　处：《中国医药导报》2014年第9期156-159,共4页China Medical Herald

摘　　要：目的 探讨临床护理路径在炎症性肠病患者自我管理中的应用效果.方法 选择于2011年1月～2013年1月在山东省滕州市中心人民医院消化内科住院的炎症性肠病患者125例,按随机数字表法分为干预组63例和对照组62例,两组患者在遵医嘱实施治疗常规护理的基础上,干预组患者建立临床护理路径小组,实施急性期自我管理护理路径,缓解期健康教育护理路径,随访期延续护理路径为一体的临床护理干预模式.比较两组干预效果.结果 两组患者干预前自我管理技能评分比较差异无统计学意义（P＞0.05）;干预后干预组患者自我管理技能评分与对照组比较差异均有高度统计学意义（t=8.790、12.381、10.968、12.691、11.271,均P＜ 0.01）;干预组患者出院后6、12个月治疗依从性优于对照组,差异均有统计学意义（x2=10.543、11.553、11.936、12.285,均P＜0.05）,总体健康生活质量评分明显高于对照组,差异均有高度统计学意义（t=5.978、4.601、6.509、5.737、5.513、5.795,均P＜0.01）.结论 实施临床护理路径确保治疗和护理连续性,提高其自我管理技能水平,从而促进患者早日康复.Objective To explore the effect of the application of self-management of clinical nursing pathway in inflammatory bowel disease （IBD） patients.Methods Total of 125 cases with IBD of Gastroenterology Department in the Central People＇s Hospital of Tengzhou from January 2011 to January 2013 were divided into intervention group （63cases） and control group （62 cases） according to the random number table.Prescribing on the basis of the implementation of the routine care in the two groups,the intervention group established the mode of clinical intervening nursing pathway,made the self management of the nursing pathway in the the acute phase,health education pathway in remittent period and continuing the nursing pathway in the follow-up period.Two groups of intervention effect were compared.Results The difference of self-management skills in the two groups of patients before the intervention was not statistically significant （P ＞ 0.05）; the difference was statistically significant between the two groups of patients with self-management skills after the intervention （t =8.790,12.381,10.968,12.691,11.271,all P ＜ 0.01）; the obedience of the patients with intervention were superior to the control group discharged from hospital after 6 months,12 months of treatment adherence （x 2 =10.543,11.553,11.936,12.285,all P ＜ 0.05）; compare with the control group,the score of overall health quality of life was significantly higher with statistically significant （t =5.978,4.601,6.509,5.737,5.513,5.795,all P ＜ 0.01）.Conclusion Carrying out the clinical nursing pathway can ensure the continuity of clinical treatment and care,strengthen their self-management skills and promote the rehabilitation of patients with early implementation.

关 键 词：临床护理路径 炎症性肠病 自我管理 生活质量 

分 类 号：R473.5[医药卫生—护理学]