临床护理路径在职业性噪声聋医学观察患者中的应用  

Application of clinical nursing pathway on medical observation in patients with occupational noise-induced deafness

作　　者：巫带花[1] 郑倩玲[1] 邱新香[1] 黄家文[1] 陈英姿[1] 卢秀凤 甘雯珍[1] 汤春宜[1] WU Daihua;ZHENG Qianling;QIU Xinxiang;HUANG Jiawen;CHEN Yingzi;LU Xiufeng;GAN Wenzhen;TANG Chunyi(Guangdong Province Hospital for Occupational Disease Prevention and Treatmen;Guangdong Provincial Key Lat）oratory of Occupational Diseases Prevention and Treatment, Guangzhou, Guangdong 510300, Chin)

机构地区：[1]广东省职业病防治院广东省职业病防治重点实验室,广东广州510300

出　　处：《中国职业医学》2018年第3期342-346,共5页China Occupational Medicine

基　　金：国家科技支撑计划项目(2014BA112B01);广东省医学科研基金(A2014075;A2012066;A2008059)

摘　　要：目的探讨临床护理路径(CNP)在职业性噪声聋(ONID)医学观察患者护理中的应用效果。方法采用随机数字表法,将住院进行ONID医学观察的患者分为对照组和CNP组,每组50例。对照组给予常规护理,观察组根据制定好的护理路径表格实施CNP。采用《焦虑自评量表》《抑郁自评量表》《SF-36量表》调查2组患者的焦虑、抑郁和生活质量,并对其住院时间、住院费用、护理满意度等进行调查。结果护理实施前,2组患者焦虑、抑郁和生活质量8个维度的得分分别比较,差异均无统计学意义(P>0.05);护理实施后,CNP组患者焦虑、抑郁和生活质量的改善程度均优于对照组(P<0.01)。与对照组比较,CNP组患者住院时间缩短(P<0.01),住院费用下降(P<0.05),对护理满意度升高(P<0.01)。结论 CNP实施可有效缓解职业病诊断过程中ONID医学观察患者的焦虑、抑郁症状,减少其住院时间和住院费用,提高其生活质量及护理满意度,可在临床上推广使用。Objective To explore the application effect of clinical nursing pathway（ CNP） in nursing care on patients with occupational noise-induced deafness（ ONID） under medical observation.Methods The patients with ONID under medical observation in hospital were randomly selected and divided into CNP group（ 50 cases） and control group（ 50 cases） by random number table method.The control group was given routine nursing care,and the CNP group was given CNP care according to the nursing path table.Self-Rating Anxiety Scale,Self-rating Depression Scale and SF-36 Scale were used to observe the anxiety, depression and quality of life of these two groups.The time and expenses of hospitalization,and degree of nursing satisfaction were also observed.Results Before nursing care implementation,the scores of anxiety,depression and 8 dimension of quality of life did not show statistical significance between these two groups（ P〈0.05）.After nursing care implementation,the improvement of anxiety,depression and quality of life in the CNP group were significantly better than that of the control group（ P〈0.01）.The patients in the CNP group had shorter duration of hospitalization（ P〈0.01）,decreased hospitalization expenses（ P〈0.05）,and increased nursing satisfaction（ P〈0.01） compared with the control group.Conclusion CNP implementation can effectively reduce the anxiety and depression symptoms of patient with ONID under medical observation during the diagnostic process of occupational diseases.It can reduce the time and costs of hospitalization,improve their quality of life and satisfaction of nursing care.CNP can be widely used in clinical practice.

关 键 词：职业性噪声聋 临床护理路径 焦虑 抑郁 生活质量 住院时间 住院费用 满意度 

分 类 号：R135.8[医药卫生—劳动卫生]