临床护理路径在缺血性脑血管介入治疗中的效果评价  

Effect evaluation of clinical nursing pathway in interventional treatment of ischemic cerebrovascular diseases

作　　者：谭芊芊[1,2] 周金细[1,2] 黄雪芳[1,2] 李秋[1,2] 黄兰灵 冯美江[1,2] 

机构地区：[1]右江民族医学院附属西南医院 [2]广西百色市人民医院神经内科,百色533000

出　　处：《右江医学》2014年第6期693-696,共4页Chinese Youjiang Medical Journal

摘　　要：目的观察临床护理路径(clinical nursing pathway,CNP)在缺血性脑血管病介入治疗过程中的实施效果。方法选取2013年5月至2014年5月收治的120例缺血性脑血管病患者作为研究对象,按随机数字表法分为两组,对照组60例患者予以常规护理措施,观察组60例患者予以临床护理路径,比较两组患者介入术后并发症的发生率、健康知识掌握程度、平均住院时间、住院费用及护理满意程度。结果观察组的并发症发生率显著低于对照组,健康知识掌握程度显著高于对照组,患者的住院时间显著短于对照组,住院费用显著少于对照组,差异均有统计学意义(P<0.05或<0.01)。观察组患者对护理的满意程度显著高于对照组,差异有统计学意义(P<0.05或<0.01)。结论临床护理路径能显著降低缺血性脑血管病介入治疗的并发症,患者的健康知识掌握程度显著提高,住院时间、住院费用显著减少,患者对护理的满意程度显著提高,值临床推广。Objective To analyze the effect of clinical nursing pathway（ CNP） in interventional treatment of ischemic cerebrovascular diseases. Methods 120 patients with ischemic cerebrovascular diseases admitted to the hospital from May,2013 to May,2014 were enrolled in this study. They were divided into observation group and control group by random digital table method with 60 cases in each group. The control group was given conventional nursing measures,while the observation group was given CNP. Then,incidence of complications,mastery of health knowledge,average hospitalization time,hospitalization expenses and nursing satisfaction after interventional treatment between groups were compared. Results Incidence of complications in the observation group were significantly lower than those in the control group; their mastery of health knowledge was significantly better than that in the control group; their average hospitalization time was shorter and their hospitalization expenses was less than that of the control group,so the these differences were statistically significant（ P〈0. 05 or 0. 01）.In addition,nursing satisfaction of the observation group was significantly higher than that of the control group,so there was statistically significant difference（ P〈0. 05 or 0. 01）. Conclusion Clinical nursing paths can significantly reduce complications of patients with ischemic cerebrovascular in interventional therapy. Patients can increase their knowledge of health,significantly reduce hospital stay and hospital costs,and improve their nursing satisfaction. Thus,it is worthy of clinical promotion.

关 键 词：缺血性脑血管病 临床护理路径 效果评价 

分 类 号：R473.5[医药卫生—护理学]