临床护理路径在人工肝血浆置换术中的应用效果观察  

The effect of clinical nursing pathway applied in the artificial liver plasma exchange

作　　者：武珊珊 徐葵花[1] 宋卫芹[1] WU Shan-shan;XU Kui-hua;SONG Wei-qin(Department of Infectious Diseases,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院感染病科

出　　处：《中华全科医学》2018年第12期2115-2117,共3页Chinese Journal of General Practice

基　　金：2012年度安徽高校省级科学研究项目(kj2012z249)

摘　　要：目的探讨临床护理路径(clinical nursing pathway,CPN)在人工肝血浆置换术中的应用方法并观察其效果。方法选取2014年3月—2016年11月蚌埠医学院第一附属医院进行人工肝血浆置换术的肝衰竭患者80例,将其随机分为实验组和对照组,各40例,实验组应用制定的临床护理路径进行护理,对照组采用常规模式进行护理,比较2组患者的满意度、健康教育合格率、并发症发生率及治疗有效率。采用SPSS17.0统计软件,计数资料使用百分比、率进行描述性分析,并采用χ2检验,P<0.05表示差异有统计学意义。结果实验组患者满意度(85.0%)和健康教育合格率(90.0%)均明显高于对照组满意度(55.0%)和健康教育合格率(65.0%),差异有统计学意义(P=0.003,P=0.007);并发症发生率(12.5%)显著低于常规护理组(35.0%),差异有统计学意义(P=0.018),实验组治疗有效率为80.0%,对照组为72.5%,差异无统计学意义(P=0.431)。结论按临床护理路径实施PE术的护理措施可提高患者满意度和健康教育合格率,有效降低患者的并发症。Objective To explore the application methods and effect of clinical nursing pathway ( CPN) applied in the artificial liver plasma exchange ( PE) . Methods From March,2014 to November,2016,80 Liver failure patients with artificial liver plasma exchange were randomly divided into experimental group and control group,with 40 cases in each group. Patients in experimental group were treated with clinical nursing pathway,while patients in control group were treated with routine nursing. The satisfaction,the qualification rate of health education,the complication rate,and the effective rate were observed in both groups. All the data were analyzed with SPSS 17. 0. A descriptive analysis of the percentage and rate of the data was used,and chi-square test was used,with P < 0. 05 indicating statistical significance. Results The satisfaction and the qualification rate of health education in experimental group were 85% and 90%,significantly superior to 55% and 65% of the control group ( P = 0. 003,P = 0. 007) . The complication rate in experimental group was 12. 5%,inferior to those of the control group ( 35. 0%,P = 0. 018) . The treatment efficacy rate was 80% in the experimental group and 72. 5% in the control group,without statistical significance ( P = 0. 431) . Conclusion Application of clinical nursing pathway improves patients’satisfaction and qualification rate of health education,and reduces complication rate.

关 键 词：临床护理路径 血浆置换 肝衰竭 

分 类 号：R459.5[医药卫生—治疗学] R473.51[医药卫生—临床医学]