临床路径在急性心肌梗死患者健康教育中的应用(1)
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[摘要] 目的 探讨临床路径在急性心肌梗死患者健康教育中的应用效果。 方法 将80例初次诊断为急性心肌梗死的患者随机分成实验组和对照组。对照组40例采用传统方法进行健康教育，实验组40例制订健康教育临床路径表，按路径表进行健康教育。 结果 实验组健康教育内容掌握比率明显高于对照组(P < 0.05)，对护士工作的满意度高于对照组(P < 0.05)，平均住院日及平均住院费用比对照组减少(P < 0.05)。 结论 对急性心肌梗死患者实施临床路径可使患者全面、系统、有效地掌握健康知识，缩短住院日，降低住院费用，提高患者生活质量，提高患者对护理工作的满意度。
[关键词] 临床路径；急性心肌梗死；健康教育
[中图分类号] R473 [文献标识码] C [文章编号] 1673-7210(2012)02(a)-0150-02
Application of clinical pathway in health education for patients with acute myocardial infarction
HUANG Fengxian
Department of Radiology, the People's Hospital of Gaoyao City, Guangdong Province, Zhaoqing 526048, China
[Abstract] Objective To investigate the application effects of clinical pathway in the health education for patients with acute myocardial infarction. Methods 80 patients with initial diagnosis of acute myocardial infarction were randomly divided into experiment group and control group. The 40 patients of the control group received health education using traditional methods while the 40 patients of the experiment group received health education using the health education clinical pathway table. Results The experiment group mattered significantly higher health education contents than that of control group (P < 0.05), showed significantly higher satisfaction with nursing work than the control group (P < 0.05), and spent less average length of stay and less average hospitalization costs than that of control group (P < 0.05). Conclusion The application of clinical pathway for patients with acute myocardial infarction can help the patients gain comprehensive, systematic and effective control of health knowledge, shorten hospital stay, reduce hospitalization costs, improve patients' quality of life, and improve patients' satisfaction with nursing work.
[Key words] Clinical pathway; Acute myocardial infarction; Health education
急性心肌梗死(AMI)作为冠心病的严重类型，已成为威胁我国人民健康的主要疾病。其患病率呈逐年上升趋势，并且患病年龄趋于年轻化。如何提高急性心肌梗死患者的自我护理能力、降低医疗费用、节约有限的护理人力资源是我们面临的重要课题。对患者进行健康教育是促进疾病康复，延长远期存活时间，提高生活质理的必要的护理措施。临床路径又称临床程序，是为已确诊为某种疾病的一组患者制订的以患者为中心，从入院到出院的一整套医疗护理整体工作计划[1]。2010年1月我科制订了AMI患者健康教育路径表，对40例初次诊断为AMI的患者按健康教育路径表实施教育，取得了较好的效果。现报道如下：
1 资料与方法 ......
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