临床路径在呼吸道合胞病毒毛细支气管炎护理中的应用  

Application of clinical pathway in the nursing of bronchiolitis caused by respiratory syncytial virus

作　　者：赵维笑[1] 宋文秀[1] 

机构地区：[1]遵义医学院第五附属(珠海)医院儿科,广东珠海519100

出　　处：《中国医药导报》2016年第2期142-144,149,共4页China Medical Herald

基　　金：广东省医学科研基金立项课题(A2012625)

摘　　要：目的研究临床路径在呼吸道合胞病毒（RSV）毛细支气管炎护理中的应用效果和意义。方法选取2012年10月～2013年5月遵义医学院第五附属（珠海）医院儿科收治的RSV毛细支气管炎患儿90例为研究对象，并将其分为观察组（n=60）和对照组（n=30）。两组行常规治疗后，对照组实施一般性护理，观察组实施临床路径护理，观察比较两组生活质量、住院时间、住院费用、家长健康知识掌握情况及护理满意度。结果护理后，观察组患儿生理功能、躯体功能、心理功能、机体疼痛、活力、社会功能、情绪角色及总健康评分均显著高于对照组，差异有统计学意义（P〈0．05）。观察组患儿住院时间、住院费用均短于或低于对照组，而家长健康知识掌握情况优于对照组，差异有统计学意义（P〈0．05）；观察组与对照组患儿的护理效果满意率分别为86．7％和72．3％，观察组高于对照组，但差异无统计学意义（P〉0．05）。结论临床路径用于RSV毛细支气管炎护理中可显著提高患儿的生活质量，缓解临床症状，提高患儿满意度，效果显著。Objective To investigate the application effect and significance of clinical pathway in the nursing of bronchiolitis caused by respiratory syncytial virus （RSV）. Methods Ninety children with bronchiolitis caused by RSV admitted to Department of Pediatrics of the Fifth Affiliated Hospital of Zunyi Medical University （Zhuhai） from October 2012 to May 2013 were selected as research objects and divided into observation group （n = 60） and control group （n = 30）. Both groups received conventional treatment, on basis of which, the control group received general nursing, and the observation group received clinical pathway nursing. The quality of life, length of hospital stay, cost of hospitalization and parents＇ health knowledge, nursing satisfaction of the two groups were observed and compared. Results After nursing, the scores of physiological function, physical function, psychological function, body pain, vitality, social function, emotional role and total health score of the observation group were significantly higher than those of the control group （P 〈 0.05）. The length of hospital stay, cost of hospitalization of the observation group were shorter or lower than those of control group, while the parents＇ health knowledge was better than that of control group, the differences were statistically significant （P 〈 0.05）. The nursing satisfaction rate of observation group and control group was 86.7% and 72.3% respectively, the observation group was higher than the control group, but the difference was not statistically significant （P 〉 0.05）. Conclusion The clinical pathway applied in the nursing of bronchiolitis caused by RSV can improve the quality of life of patients, relieve clinical symptoms, improve children＇s satisfaction, the effect is significant.

关 键 词：呼吸道合胞病毒 毛细支气管炎  临床路径 效果 

分 类 号：R562.25[医药卫生—呼吸系统] R473.72[医药卫生—内科学]