中医临床护理路径在面瘫患者中的应用效果  

Application effect of clinical nursing path of Traditional Chinese Medicine in facial paralysis patients

作　　者：赖若芸[1] 赵红黎[1] 胡恕艳 覃卫东[1] 莫靖新[2] 

机构地区：[1]广西中医药大学第一附属医院脑病区,南宁530023 [2]广西中医药大学第一附属医院脑病一区,南宁530023

出　　处：《中华现代护理杂志》2015年第15期1796-1798,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨中医临床护理路径在面瘫患者中的应用效果。方法将2012年2月—2014年8月80例面瘫患者采用随机数字表法分为观察组和对照组,每组各40例。对照组采用常规方法进行治疗和护理,观察组按照中医临床护理路径制订表进行治疗和护理。比较两组患者的平均住院时间、住院费用、护理依从性及满意度。结果观察组患者住院时间为（13±2.3）d,住院费用（7382.0±123.1）元,均少于对照组,差异有统计学意义（t值分别为10.70,39.55；P〈0.05）。观察组患者完全依从36例,部分依从3例,不依从1例,依从性高于对照组,差异有统计学意义（Z=4.96,P〈0.05）；观察组满意37例,基本满意3例,不满意0例,满意度高于对照组,差异有统计学意义（Z =4.97,P 〈0.05）。结论中医临床护理路径可以减少面瘫患者住院时间和住院费用,提高患者的护理依从性和满意度。Objective To discuss the application effect of clinical nursing pathway of Traditional Chinese Medicine （ TCM） in facial paralysis patients. Methods A total of 80 cases of facial paralysis patients from February 2012 to August 2014 were randomly divided into the observation group （ n=40 ） and the control group （n=40） according to random number table method. The control group was adopted routine treatment and nursing care, while the observation group was given clinical nursing pathway of TCM treatment and nursing care. The average length of hospital stay, hospital expenses, nursing compliance and satisfaction were compared. Results The hospitalization time and cost of the observation group were （13 ± 2. 3） days and （7 382. 0 ± 123. 1） yuan, which were significantly better than those of the control group （t=10. 70, 39. 55, respectively;P〈0. 05）. In the observation group, 36 patients were totally complied, three patients were partially complied, and one patient was not complied, which were significantly better than those of the control group （Z=4. 96,P〈0. 05）. In the observation group, 37 patients were totally satisfied, three patients were basically satisfied, and no patient was not satisfied, which were significantly better than those of the control group （Z =4. 97,P 〈0. 05）. Conclusions The application of TCM clinical nursing pathway in facial paralysis patients can reduce the length of hospital stay and hospital costs, and improve patients′care compliance and satisfaction.

关 键 词：面神经麻痹 中医护理 临床路径 依从性 满意度 

分 类 号：R248.9[医药卫生—中医临床基础]