临床路径管理模式在肝硬化合并上消化道出血患者护理中的应用  

Application of Clinical Pathway Management Model in the Nursing of Patients with Liver Cirrhosis Complicated with Upper Gastrointestinal Bleeding

作　　者：陆蕴健 徐晓敏[1] LU Yunjian;XU Xiaomin(Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,China;不详)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院),江苏南京210006

出　　处：《中外医学研究》2025年第7期74-77,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究肝硬化并发上消化道出血患者实施临床路径管理模式的效果。方法:选取2022年8月—2023年10月南京医科大学附属南京医院收入的80例肝硬化并发上消化道出血患者作为研究对象,根据随机数表法分为对照组(常规病房管理)与观察组(在对照组基础上按照临床路径管理模式进行干预),各40例。比较两组护理效果、心理状态、生活质量及治疗依从性。结果:观察组止血时间、住院时间短于对照组,差异有统计学意义(P<0.05);观察组护理后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分低于对照组,健康调查简表(SF-36)各项评分均高于对照组,差异有统计学意义(P<0.05);观察组治疗总依从性为95.0%,高于对照组77.5%,差异有统计学意义(P<0.05)。结论:临床路径管理模式可缩短肝硬化并发上消化道出血患者止血时间及住院时间,利于不良情绪改善和治疗依从性、生活质量提升。Objective:To study the effect of clinical pathway management model for patients with liver cirrhosis complicated with upper gastrointestinal bleeding.Method:A total of 80 patients with liver cirrhosis complicated with upper gastrointestinal bleeding who treated in Nanjing First Hospital,Nanjing Medical University from August 2022 to October 2023 were selected as the research objects,they were divided into the control group(routine ward management)and the observation group(clinical pathway management model on the basis of control group)according to the random number table method,40 cases in each group.The nursing effect,psychological state,quality of life and treatment compliance were compared between two groups.Result:The hemostasis time and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05);the self-rating anxiety scale(SAS)scores and self-rating depression scale(SDS)score in the observation group after nursing were lower than those in the control group,and the scores of the MOS item short form health survey(SF-36)were higher than those in the control group,the differences were statistically significant(P<0.05);the total treatment compliance of the observation group was 95.0%,which was higher than 77.5%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Clinical pathway management model can shorten the hemostasis and hospitalization time of patients with liver cirrhosis complicated with upper gastrointestinal bleeding,which is conducive to the improvement of negative mood,treatment compliance and quality of life.

关 键 词：肝硬化 上消化道出血 临床路径管理模式 护理质量 

分 类 号：R473.5[医药卫生—护理学]