临床护理路径在经腋静脉穿刺螺旋电极行永久心脏起搏器植入术患者中的应用  

Application of clinical nursing pathway in patients undergoing permanent cardiac pacemaker implantation through axillary vein puncture spiral electrode

作　　者：辛洪玉[1] 苏凤 孙茜 Xin Hongyu;Su Feng;Sun Qian(Department of Cardiology,Huzhou Central Hospital,Zhejiang Province,Huzhou 313000,China)

机构地区：[1]浙江省湖州市中心医院心内科,313000

出　　处：《中华现代护理杂志》2020年第11期1504-1507,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨临床护理路径在经腋静脉穿刺螺旋电极行永久心脏起搏器植入术患者中的应用效果。方法采用便利抽样法,选择2018年1—12月在湖州市中心医院行经腋静脉穿刺螺旋电极行永久心脏起搏器植入术患者217例为研究对象。根据患者入院时间,将2018年1—6月入院患者102例作为对照组,2018年7—12月入院患者115例作为观察组。对照组采取常规护理,观察组按照拟定的临床路径护理,比较两组患者住院时间、住院费用、健康知识掌握程度和患者满意度。结果观察组患者住院时间(12.63±2.39)d,住院费用(1.62±0.37)万元,均低于对照组,差异有统计学意义(t值分别为4.455,3.681;P<0.05)。观察者患者健康知识得分为(92.37±5.28)分,高于对照组,差异有统计学意义(t=8.886,P<0.05)。观察组患者对护理满意度93.04%,对照组为81.37%,差异有统计学意义(χ^2=6.759,P<0.05)。结论临床护理路径在经腋静脉穿刺螺旋电极行永久心脏起搏术中应用,可有效促进患者术后康复,减少医疗成本,提高患者对护理满意度,值得临床推广运用。Objective To explore the application effect of clinical nursing pathway in patients undergoing permanent cardiac pacemaker implantation through axillary vein puncture spiral electrode.Methods According to the convenience sampling method,a total of 217 patients who underwent permanent cardiac pacemaker implantation through axillary vein puncture spiral electrode in Huzhou Central Hospital from January 2018 to December 2018 were selected as research objects.According to the time of admission,102 patients who were admitted from January 2018 to June 2018 were set as the control group while 115 patients who were admitted from July 2018 to December 2018 were set as the observation group.The control group was given routine nursing while the observation group was given nursing measures according to the prescribed clinical pathway.The length of hospital stay,hospitalization expenses,mastery of health knowledge and satisfaction degree of patients were compared between the two groups.Results The length of hospital stay and hospitalization expenses in the observation group were respectively(12.63±2.39)d and(1.62±0.37)ten thousand yuan,both lower than those in the control group,and the differences were statistically significant(t=4.455,3.681;P<0.05).The score of health knowledge in the observation group was(92.37±5.28),higher than that in the control group(t=8.886,P<0.05).The nursing satisfaction degree of patients was 93.04% in the observation group and 81.37% in the control group,and the difference was statistically significant(χ^2=6.759,P<0.05).Conclusions The application of clinical pathway nursing in permanent cardiac pacemaker implantation through axillary vein puncture spiral electrode can effectively promote postoperative rehabilitation of patients,reduce medical costs and to improve patients'satisfaction with nursing,which is worthy of clinical promotion and application.

关 键 词：经腋静脉穿刺 螺旋电极 心脏起搏器植入 临床护理路径 

分 类 号：R473[医药卫生—护理学]