临床健康教育路径在慢性肾脏病高血压患者治疗中的应用评价  

Evaluation of Clinical Health Education Pathway in Treatment of Hypertension Patients with Chronic Kidney Disease

作　　者：黄秋鹏[1] 庞晴[1] 何霁[1] 杨小清 程辉 谢席胜[1] 

机构地区：[1]川北医学院第二临床医学院(南充市中心医院),南充637000

出　　处：《当代护士（下旬刊）》2017年第10期149-151,共3页Modern Nurse

基　　金："默沙东制药有限公司-南充市中心医院高血压;血脂异常;2型糖尿病社区综合管理项目"基金资助(20100167)

摘　　要：目的探讨临床健康教育路径在慢性肾脏病高血压患者治疗中的应用效果。方法按入院先后顺序,将403例慢性肾脏病患者随机分为观察组200例和对照组203例。对照组实施传统的健康教育,观察组实施临床健康教育路径,比较两组疾病相关知识掌握度、遵医行为(如规律服药,合理饮食,戒烟戒酒及适当运动)、并发症的发生、住院体验及满意度、住院时间及住院费用等,对相关指标进行统计分析。结果观察组规律服药,合理饮食,戒烟戒酒及适当运动的比率高于对照组,差异有统计学意义(P<0.05);观察组对高血压知识的掌握率,对护理工作的满意度均高于对照组,差异有统计学意义(P<0.05);干预后观察组心脑血管事件的发生率低于对照组(P<0.05)。而住院时间、住院费用低于对照组,差异有统计学意义(P<0.05)。结论实施临床健康教育路径,有利于提高慢性肾脏病高血压患者对高血压知识的掌握程度,改善遵医行为,使患者自我管理疾病的能力增强,并发症发生率得以明显降低,能有效缩短住院时间,减少住院费用,有助于提升患者就医体验及满意度,对提高患者生活质量,更好地回归社会具有重要意义。Objective To explore the clinical effect of clinical health education in patients with chronic kidney disease（ CHD）.Methods403 patients with chronic kidney disease were randomly divided into observation group（ n = 200） and control group（ n = 203）.The control group carried out the traditional health education,the observation group implemented the clinical health education path,compared the two groups of disease related knowledge mastery,compliance（ such as regular medication,reasonable diet,quit smoking and appropriate exercise）,the occurrence of complications,Hospitalization experience and satisfaction,length of stay and cost of hospitalization,the relevant indicators for statistical analysis.Results The rates of taking medicine,reasonable diet,smoking and drinking,and exercising were in observation group,which were higher than those in control group,the difference was statistically significant（ P0.05）; The rate of mastery of hypertension knowledge and the satisfaction of nursing were higher than those of the control groupthe difference was statistically significant（ P 0.05）; The incidence of cardiovascular and cerebrovascular events was also significantly reduced after the implementation of clinical health education pathways（ P0.05）; The hospital stay days was shorter than that of the control group,and the hospitalization cost was less than that of the control group（ P0.05）.Conclusion Implementing the path of clinical health education is helpful to improve the mastery of hypertension knowledge in hypertension patients,improve the compliance of doctors,enhance the ability of self-management and decrease the complication rate.Can effectively shorten the hospital stay,reduce hospital costs,help to improve patient experience and satisfaction,improve patient quality of life,a better return to the community is of great significance.

关 键 词：慢性肾脏病 高血压 临床路径 健康教育 护理 满意度 

分 类 号：R473.5[医药卫生—护理学] G479[医药卫生—临床医学]