临床护理路径在急性肾损伤并上消化道出血患者护理中的应用  

Application of Clinical Nursing Pathway in the Nursing of Patients with Acute Kidney Injury Complicated with Upper Gastrointestinal Bleeding

作　　者：肖仕琪[1] 高秋霞[1] 彭虹彩 黄建嫦 

机构地区：[1]广东医学院附属福田医院,广东深圳518033

出　　处：《中国医学创新》2015年第32期87-90,共4页Medical Innovation of China

基　　金：深圳市科技计划项目(JCYJ20140416094330208)

摘　　要：目的:探讨临床护理路径在急性肾损伤(AKI)并上消化道出血患者护理中的应用。方法:选取2010年3月-2015年1月本院收治的AKI并上消化道出血患者54例,并根据患者采用的护理方法将其分为干预组31例和常规组23例,常规组患者采用常规护理方法进行护理,干预组患者按照临床护理路径进行系统的护理干预。比较两组患者的住院天数、住院费用及死亡情况,并于患者出院前1 d,采用问卷调查方式调查患者对疾病健康知识的掌握程度及对护理的满意度,同时比较护理质量评分。结果:干预组患者的住院天数明显短于常规组,住院费用明显少于常规组,差异均有统计学意义(P<0.05);干预组患者住院病死率为32.26%(10/31),常规组为47.83%(11/23),组间比较差异无统计学意义(P>0.05).干预组患者的健康知识掌握率87.10%(27/31)明显高于常规组的60.87%(14/23),患者对护理满意度100%明显高于常规组的78.26%,护理质量评分(97.28±2.45)分明显高于对照组的(90.67±2.59)分,差异均有统计学意义(P<0.05)。结论:应用临床护理路径在AKI并上消化道出血患者的护理中,有利于缩短患者住院时间,减少住院费用,提高护理质量,值得临床推广。Objective：To investigate the application of clinical nursing pathway in the nursing of patients with acute kidney injury（AKI） complicated with upper gastrointestinal bleeding.Method：54 patients with AKI complicated with upper gastrointestinal bleeding from March 2010 to January 2015 in our hospital were selected and divided into the interventional group for 31 cases and the conventional group for 23 cases according to the nursing methods.The conventional group was given nursing care according to conventional methods,and the interventional group was given nursing care according to clinical nursing pathway.The hospitalization time,hospitalization costs,hospital mortality were compared between the two groups.One day before discharge,the questionnaire of disease related knowledge and nursing satisfaction were handed out to the patients,and compared the nursing quality score.Result：The hospitalization time of the interventional group was significantly shorter than that of the conventional group,the hospitalization costs was significantly less than that of the conventional group,the differences were statistically significant（P〈0.05）.The hospital mortality of the interventional group was 32.26%（10/31）,and the conventional group was 47.83%（11/23）,without significant difference between the two groups（P〉0.05）.The health knowledge master rate of the interventional group was 87.10%（27/31）,which was significantly higher than 60.87%（14/23） of the conventional group,the nursing satisfaction of the interventional group was（100%） significantly higher than 78.26% of the conventional group,and the nursing quality score of the interventional group was（97.28±2.45）scores,which was significantly higher than（90.67±2.59）scores of the conventional group,the differences were statistically significant（P〈0.05）.Conclusion：The clinical nursing path applied to the nursing of patients with AKI complicated with upper gastrointestinal bleeding is good for shorting the hospitalization time

关 键 词：临床护理路径 急性肾损伤 上消化道出血 效果 

分 类 号：R473.6[医药卫生—护理学]