临床护理路径在腰大池持续引流围术期护理中的应用效果探讨  

Discussion on the application effect of clinical nursing path in perioperative nursing care of continuous lumbar cerebrospinal fluid drainage

作　　者：刘卉[1] 方家香[1] LIU Hui;FANG Jiaxiang(Ganzhou People's Hospital in Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国现代医生》2020年第34期163-166,共4页China Modern Doctor

基　　金：江西省赣州市指导性科技计划项目(GZ2017ZSF209)。

摘　　要：目的探讨临床护理路径在行腰大池持续引流(CLCFD)患者中的应用效果。方法选择2017年10月~2019年10月于我院行CLCFD患者88例,按随机数字表法分为两组,每组各44例。对照组采取常规护理,观察组实施临床护理路径干预,比较两组患者的健康知识掌握度、康复情况、并发症发生情况及护理满意度。结果观察组健康知识总掌握度为97.73%高于对照组的81.82%,并发症总发生率为2.27%低于对照组的20.45%,差异有统计学意义(P<0.05)。观察组头痛持续时间为(12.34±3.21)h、血性脑脊液消失时间为(36.22±5.62)h、住院时间为(8.97±2.31)d,分别短于对照组的(16.57±3.22)h、(40.51±5.64)h、(13.92±3.24)d,差异有统计学意义(P<0.05)。观察组护理总满意度为95.45%,高于对照组的79.55%,差异有统计学意义(P<0.05)。结论临床护理路径干预用于CLCFD围术期护理中利于提升患者健康知识认知水平,减少并发症的发生,缩短患者头痛持续时间和血性脑脊液消失时间,利于患者促进患者康复,值得推广应用。Objective To explore the effect of clinical nursing pathway in patients with continuous lumbar cerebrospinal fluid drainage(CLCFD).Methods A total of 88 patients with CLCFD in our hospital from October 2017 to October 2019 were selected and divided into two groups according to the random number table method,with 44 cases in each group.The control group took conventional nursing care,and the observation group implemented clinical nursing path intervention.The patients'health knowledge mastery,recovery status,occurrence of complications and nursing satisfaction between the two groups were compared.Results The total mastery of health knowledge in the observation group(97.73%)was higher than that in the control group(81.82%),and the total incidence of complications(2.27%)was lower than that in the control group(20.45%),and the difference was statistically significant(P<0.05).The duration of headache(12.34±3.21)h,the disappearance time of bloody cerebrospinal fluid(36.22±5.62)h,and the hospital stay(8.97±2.31)d in the observation group were shorter than those in the control group[(16.57±3.22)h,(40.51±5.64),and(13.92±3.24)d],and the difference was statistically significant(P<0.05).The total nursing satisfaction of the observation group was 95.45%,which was higher than that of the control group(79.55%),and the difference was statistically significant(P<0.05).Conclusion The clinical nursing pathway intervention used in the perioperative care of CLCFD is beneficial to improve patients'health knowledge and cognition level,reduce the occurrence of complications,shorten the duration of headaches and the disappearance of bloody cerebrospinal fluid,and promote the recovery of patients.It is worthy of promotion and application.

关 键 词：腰大池持续引流 临床护理路径 健康知识 康复情况 并发症 

分 类 号：R651.1[医药卫生—外科学] R473[医药卫生—临床医学]