在重度支气管哮喘患者护理中采用临床护理路径促进患者康复、提高护理满意度效果分析  

Analysis of the Effect of Using Clinical Nursing Pathways in the Nursing of Patients with Severe Bronchial Asthma to Promote the Rehabilitation of Patients and Improve Nursing Satisfaction

作　　者：陈凤甜 Chen Fengtian(Department of Respiratory Medicine,First People’s Hospital,Pingdingshan,Henan,467000,China)

机构地区：[1]平顶山市第一人民医院呼吸内科,河南平顶山467000

出　　处：《黑龙江医学》2024年第11期1379-1381,共3页Heilongjiang Medical Journal

摘　　要：目的:分析在重度支气管哮喘患者护理中采用临床护理路径对促进患者康复、提高护理满意度的效果。方法:选取2017年4月—2019年4月平顶山市第一人民医院收治的100例重度支气管哮喘患者作为研究对象,采用随机数表法分为对照组和观察组,每组各50例。对照组患者均接受常规护理,观察组患者实施临床护理路径,比较两组患者的相关指标。结果:护理后,观察组患者的第1s用力呼气容积(FEV_(l))、用力肺活量(FVC)明显高于对照组患者,6min步行距离明显较对照组患者长,差异有统计学意义(t=12.66、6.05、3.88,P<0.05)。护理后,观察组患者心理功能、躯体功能、物质生活、社会功能评分高于对照组患者,差异有统计学意义(t=23.17、24.11、23.16、26.12,P<0.05)。观察组患者用力呼出25%肺活量的呼气流量(FEF25)、用力呼出50%肺活量的呼气流量(FEF50)、用力呼出75%肺活量的呼气流量(FEF75)、最大呼气中期流量(MMEF75/25)指标水平均高于对照组患者,差异有统计学意义(t=10.56、2.21、4.28、5.45,P<0.05)。结论:将临床护理路径应用于重度支气管哮喘患者护理中,可使患者的机体状态得到改善,提高患者的治疗依从性,提升患者的护理满意度。Objective:To analyze the effectiveness of using clinical nursing pathways in the rehabilitation and improvement of nursing satisfaction of patients with severe bronchial asthma.Methods:A total of 100 patients with severe bronchial asthma admitted to the hospital from April 2017 to April 2019 were selected and randomly divided into two groups with digital grouping method.The control group received routine care,while the observation group received clinical care.The relevant indicators of the two groups of patients were compared.Results:After nursing,the FEV_(1) and FVC of the observation group patients were significantly higher than those of the control group,and the 6-minute walking distance was significantly longer than that of the control group(t=12.66,6.05,3.88;P<0.05).The psychological function,physical function,material life,and social function of the observation group after nursing were higher than those of the control group(t=23.17,24.11,23.16,26.12;P<0.05).The observation group had higher levels of expiratory flow(FEF25)at 25%vital capacity,FEF50 at 50%vital capacity,FEF75 at 75%vital capacity,and MMEF75/25 at mid expiratory flow than the control group(t=10.56,2.21,4.28,5.45;P<0.05).Conclusion:The application of clinical nursing pathways in the care of patients with severe bronchial asthma has a significant effect:to improve the physical situation of the patients,improve treatment compliance,and promote patients’satisfaction degree.

关 键 词：重度支气管哮喘 临床护理路径 康复 护理满意度 

分 类 号：R473.56[医药卫生—护理学]