临床护理路径在抢救急性冠脉综合征患者中的应用(1)
 |
| 第1页 |
参见附件(1410KB，2页)。
【摘要】目的 探讨临床护理路径(CNP)在抢救急性冠脉综合征患者中的应用 效果。方法 将80例急性冠脉综合征患者随机分为观察组及对照组各40例, 对照组采用传统的医疗护理方法,观察组采用急救护理路径,比较2组患者健康知识掌握情 况、满意度、住院时间、医疗费用等各项指标进行对比分析。结果 观察组 的知识掌握、患者的满意度均高于对照组(P<0.05),比较两组患者住院时间、医疗费用观 察组明显少于对照组,差异有统计学意义(P<0.01),比较两组患者并发症及死亡率观察组 明显降低。结论 在急性冠脉综合症患者的抢救中应用CNP,可提高抢救疗效 ,控制医疗成本,减少并发症及死亡率发生,并提高护理工作质量。
【关键词】抢救 临床路径 急性冠脉综合征
中图分类号:R473.5文献标识码:A文章编号:1005-05 15(2010)03-019-03
pulse syndrome patients in the application
ZAN Yu Ling
(Second People's Hospital in Guangyuan City, Sichuan,628017)
【Abstract】Objective To explore clinical care path (CNP) in therescue acute Crown pulse syndrome patients in the application.MethodsFrom 80 patients with acute coronary syndrome were randomly divided into t wo groups and the control group of 40 patients in the control group using the tr aditional health care methods of clinical care paths with the observation groupcompared two patients health knowledge to grasp the situation, satisfaction, hos pital time, medical expenses, and other indicators were analyzed.Results Knowledge of the observation group of the patient satisfaction were higher(P<0.05), compared two groups of patients with length of stay, medical expenses , the observation group was less than the control group, the difference was stat istically significant (P<0.01), compared two groups of patients with complicatio ns and mortality in the observation group decreased significantly.Conclu sion In patients with acute coronary syndrome in patients with the rescueof the application of CNP, could improve the efficacy of rescue, control medica l costs, reduce complications and mortality occur, and to improve the quality ofcare.
【Key words】Rescue Clinicalpathway Acute coronary syndrome
急性冠脉综合征( acute coronary syndrome ,ACS)是心肌缺血急性发作的一组临床综合 征,它包括不稳定性心绞痛( UAP)、非ST段抬高心肌梗死及ST段抬高心肌梗死[1]。 是常见的心内科急重症,具有发病急、病重、不稳定、变化快、易发生心源性休克、心律失 常甚至猝死的特点。故ACS在入院的急救与护理极为重要。临床护理路径指医院里的医护人 员共同针对某一病的监测、治疗、康复和护理所制定严格的工作程序,有时间要求的治疗护 理计划,可缩短治疗时间,避免资源浪费,使患者得到最佳的医疗护理服务[2]。 我院对无严重合并症ACS患者实行临床护理路径管理,取得了良好效果。
1 对象和方法
1.1 对象 2005年1月～2008年6月本院诊断无严重合并症ACS患者80例,男48例,女32例; 年龄65±15岁;发病至入院时间0.5-12h,平均4.2h;ST段抬高心肌梗死15例,非ST段抬高 心肌梗死25例,UAP39例,心脏缺血性猝死1例;心功能分级:NYHA I级50例,II级20例,II I级6例,IV级4例 ......
您现在查看是摘要介绍页，详见PDF附件(1410KB，2页)。