一病一优护理路径在重症急性胰腺炎患者围术期优质护理中的应用  

The Application of One Disease-One High Quality Nursing Pathway in the Perioperative Quality Nursing of Patients with Severe Acute Pancreatitis

作　　者：王毅兰[1] 李玉芬 糟文婷 WANG yi-lan;LI Yu-fen;ZAO Wen-ting(Huating Connty Hospital of Traditional Chinese Medicine,Huating,Gansu,744100,China)

机构地区：[1]华亭县中医医院,甘肃华亭744100

出　　处：《中国初级卫生保健》2018年第9期79-80,共2页Chinese Primary Health Care

摘　　要：目的探究一病一优护理路径在重症急性胰腺炎患者围术期优质护理中的临床效果。方法选取2016年4月—2017年4月华亭县中医医院收治的重症急性胰腺炎患者96例,运用随机字母表法分为观察组与对照组,对照组采用优质护理,观察组在对照组基础上运用一病一优护理路径,对比两组患者生活质量,术后并发症,护理满意度以及健康教育知晓率。结果观察组患者躯体功能、认知功能、情绪功能、角色功能以及社会功能方面评分均显著高于对照组且差异有统计学意义(P<0.05),观察组患者术后并发症发生率为6.25%显著低于对照组22.92%且差异有统计学意义(P<0.05),观察组患者总护理满意度为95.83%显著高于对照组79.17%,且健康教育总知晓率为97.92%显著高于对照组83.33%(P<0.05)。结论一病一优护理路径在重症急性胰腺炎患者围术期优质护理中取得满意效果,能够提高患者生活质量,降低术后并发症发生率,并提高患者护理满意度与健康教育知晓率,值得临床推广应用。OBJECTIVE To explore the clinical effect of one disease-one high quality nursing pathway in the perioperative quality nursing of patients with severe acute pancreatitis(SAP).METHODS 96 patients with severe acute pancreatitis admitted in target hospital from April 2016 to April 2017 A were divided into the observation group and the control group by the random alphabet method,the control group was treated with high quality nursing,and the observation group used the one disease-one high quality nursing pathway on the basis of the control group,the quality of life,postoperative complications,nursing satisfaction and awareness of health education were compared between the two groups.RESULIS The scores of physical function,cognitive function,emotional function,role function and social function in the observation group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05),the incidence rate of postoperative complications in the observation group was 6.25%,which was significantly lower than that in the control group 22.92%,and the difference was statistically significant(P<0.05),the total nursing satisfaction degree of the patients in the observation group was 95.83%,which was significantly higher than that in the control group 79.17%,and the total awareness rate of health education was 97.92%,which was significantly higher than that in the control group(P<0.05).CONCLUSION The one disease-one high quality nursing pathway in the perioperative quality nursing of patients with severe acute pancreatitis achieves the satisfactory results,it could improve the quality of life of the patients,reduced the incidence of postoperative complications,and improve the patient’s nursing satisfaction and the awareness rate of health education,it iwas worthy of clinical application.

关 键 词：一病一优护理路径 重症急性胰腺炎 围术期 优质护理 

分 类 号：R1-9[医药卫生—公共卫生与预防医学]