评价急性左心衰竭使用临床护理路径在护理工作中的实用性  

To Evaluate the Practicability of Clinical Nursing Pathway in Nursing Work for Acute Left Heart Failure

作　　者：牛月晴 NIU Yueqing(Department of Cardiology,Liaoyang Second People's Hospital,Liaoyang 111000,Liaoning)

机构地区：[1]辽阳市第二人民医院心内一科,辽宁辽阳111000

出　　处：《中国医药指南》2022年第34期176-179,共4页Guide of China Medicine

摘　　要：目的 探讨分析急性左心衰竭采用临床护理路径在护理工作中的应用效果。方法 为保证研究的合理性,从我院2018年11月至2020年1月内收治的患者中,随机筛查出60例急性左心衰竭患者,作为研究观察对象,并应用随机数字表法,对这些患者均等分为30例试验组和30例对照组。对照组采用常规护理干预,试验组采用临床护理路径,记录两组患者并发症发生率、病死率、再次住院率,同时统计两组患者住院时间和住院费用,调查评定两组患者对护理工作的满意状况和生活质量,通过对比相关指标分析干预价值。结果 试验组患者的住院时间[(12.25±2.48)d]短于对照组[(16.53±3.38)d],住院费用[(8 603.34±920.12)元]少于对照组[(10 070.34±1 232.12)元],试验组患者并发症发生率(10.00%)、再次住院率(13.33%)以及病死率(3.33%)较对照组更低(16.67%、30.00%、20.00%),差异均有统计学意义(均P <0.05);试验组患者护理满意度高达96.67%(29/30),显著高于对照组患者护理满意度73.33%(22/30),差异具有统计学意义(P <0.05);试验组患者躯体功能(91.23±1.21)分、活力(90.38±2.34)分、社会功能(92.23±0.85)分、心理健康(92.31±1.02)分、总体健康(91.44±2.57)分均较对照组(80.12±3.21)分、(81.04±2.22)分、(83.01±1.15)分、(80.34±2.37)分、(82.49±3.02)分显著更高,差异有统计学意义(P <0.05)。结论 临床护理路径干预急性左心衰竭患者,效果显著,可大大降低并发症发生率、再次住院率和病死率,有效缩短患者住院时间,有助于减轻患者的经济费用,提高患者对护理服务的体验感。Objective To explore and analyze the application effect of clinical nursing pathway in nursing work of acute left heart failure.Methods In order to ensure the rationality of the study,60 patients with acute left heart failure were randomly screened from the patients treated in our hospital from November 2018 to January 2020.These patients were divided into 30 experimental groups and 30 control groups by random number table method.Routine nursing intervention was used in the control group and clinical nursing path was used in the experimental group.The incidence of complications,mortality and rehospitalization rate of patients in the two groups were recorded.At the same time,the hospitalization time and hospitalization expenses of patients in the two groups were counted,the satisfaction of patients in the two groups with nursing work was investigated,and the intervention value was analyzed by comparing relevant indicators.Results the hospitalization time of the experimental group was(12.25±2.48) days shorter than that of the control group(16.53±3.38) days,and the hospitalization cost was(8 603.34±920.12) yuan less than that of the control group(10 070.34±1 232.12),the incidence of complications in the experimental group was 10.00%,the rehospitalization rate was 13.33% and the mortality was 3.33%,which was significantly lower than that in the control group(16.67%,30.00%,20.00%)(P<0.05).The nursing satisfaction of patients in the experimental group was 96.67%(29/30),which was significantly higher than 73.33%(22/30) in the control group(P<0.05).The scores of physical function(91.23±1.21),vitality(90.38±2.34),social function(92.23±0.85),mental health(92.31±1.02) and overall health(91.44±2.57) in the experimental group were significantly higher than those in the control group(80.12±3.21),(81.04±2.22),(83.01±1.15),(80.34±2.37),(82.49±3.02),the difference was statistically significant(P<0.05).Conclusion Clinical nursing pathway intervention in patients with acute left heart failure has significant effect,wh

关 键 词：急性左心衰竭 护理工作 临床护理路径 应用效果 

分 类 号：R473.5[医药卫生—护理学] R541.6[医药卫生—临床医学]