临床护理路径在轻症急性胰腺炎护理中的应用效果研究(1)
[摘要] 目的 探讨临床护理路径在急性胰腺炎患者护理中的应用效果。 方法 方便选取采用随机数字表法将2016年1月—2018年5月在该院接受治疗的148例急性胰腺炎患者分为实验组和对照组，每组74例，对照组患者接受常规护理方式，实验组患者在入院后即开始接受临床护理路径，比较两组患者住院总天数、住院总费用、患者禁食天数、护理满意度。 结果 实验组患者住院天数、住院总费用和患者禁食天数均明显低于对照组患者，差异有统计学意义(t=10.275，12.809，11.651，P<0.05)；实验组患者护理满意度为98.65%(73/74)，对照组为94.59%(70/74)，差异无统计学意义(χ2=1.863，P=0.172>0.05)。 结论 临床护理路径在急性胰腺炎患者护理中的应用具有良好的效果，可降低患者住院时间和治疗成本，同时还可以改善患者生活质量。
[关键词] 临床护理路径；急性胰腺炎；满意度；护理模式
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)03(a)-0136-03
[Abstract] Objective To explore the application effect of clinical nursing pathway in the nursing of patients with acute pancreatitis. Methods A total of 148 patients with acute pancreatitis who were treated in our hospital from January 2016 to May 2018 were convenient randomly divided into an experimental group and a control group， with 74 patients in each group. The control group received routine nursing care. Patients in the experimental group began to receive clinical nursing pathways after admission， and compared the total number of hospitalizations， total hospitalization expenses， fasting days， and nursing satisfaction of the two groups. Results The number of hospital stays， total hospitalization expenses， and fasting days of patients in the experimental group were significantly lower than those in the control group. The difference was statistically significant (t=10.275， 12.809， 11.651， P<0.05)； the satisfaction of patients in the experimental group was 98.65% (73/74)， and that in the control group was 94.59% (70/74). The difference was not statistically significant (χ2=1.863， P=0.172>0.05). Conclusion The clinical nursing pathway has a good effect in the nursing of patients with acute pancreatitis， which can reduce the hospitalization time and treatment cost， and also improve the quality of life of patients.
[Key words] Clinical nursing pathway； Acute pancreatitis； Satisfaction； Nursing model
急性胰腺炎是臨床常见的急腹症之一，近年来随着人类饮食结构的改变和生活水平的提高，该病的发病率有明显增高趋势[1]。目前，各个医院急性胰腺炎治疗中的护理水平参差不齐，存在住院时间长、费用高和患者对疾病了解少等问题。临床护理路径是指在患者住院期间，根据患者所患疾病的诊断和治疗等而指定的一种治疗护理模式[2]。主要是将患者治疗过程中的主要护理活动标准化，保证患者在治疗过程中得到正确的护理，从而达到提高患者护理效果和促进患者康复的目的[3-4]。为探讨临床护理路径在急性胰腺炎患者护理中的应用效果，笔者在2016年1月—2018年5月选取148例急性胰腺炎患者进行了临床实验，现报道如下。
1 资料与方法
1.1 一般资料
方便选取在该院接受治疗的148例急性胰腺炎患者作为研究对象，所有患者均符合急性胰腺炎的诊断标准，表现为急性、持续性腹痛，血清淀粉酶活性高于正常值上限三倍以上，影像学诊断提示患者胰腺有或无形态改变，并排除其他疾病患者。排除标准：伴有严重心、肾和脑部等基础疾病患者，需进行外科手术治疗患者，病程中发生严重感染、休克和败血症等严重并发症需转ICU治疗等患者。所有患者均在该院接受治疗，采用随机数据表法将所有患者分为实验组和对照组，每组74例，其中对照组患者男48例，女26例，年龄均在32～73岁，平均(49.60±10.56)岁；实验组患者男45例，女29例，年龄均在35～77岁，平均(48.94±11.34)岁，两组患者在年龄、性别等方面比较均差异无统计学意义(P>0.05)，具有可比性。该研究试验方案经医院伦理委员会审核通过，患者或家属了解并签署知情同意书。, http://www.100md.com(李秀清)
[关键词] 临床护理路径；急性胰腺炎；满意度；护理模式
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)03(a)-0136-03
[Abstract] Objective To explore the application effect of clinical nursing pathway in the nursing of patients with acute pancreatitis. Methods A total of 148 patients with acute pancreatitis who were treated in our hospital from January 2016 to May 2018 were convenient randomly divided into an experimental group and a control group， with 74 patients in each group. The control group received routine nursing care. Patients in the experimental group began to receive clinical nursing pathways after admission， and compared the total number of hospitalizations， total hospitalization expenses， fasting days， and nursing satisfaction of the two groups. Results The number of hospital stays， total hospitalization expenses， and fasting days of patients in the experimental group were significantly lower than those in the control group. The difference was statistically significant (t=10.275， 12.809， 11.651， P<0.05)； the satisfaction of patients in the experimental group was 98.65% (73/74)， and that in the control group was 94.59% (70/74). The difference was not statistically significant (χ2=1.863， P=0.172>0.05). Conclusion The clinical nursing pathway has a good effect in the nursing of patients with acute pancreatitis， which can reduce the hospitalization time and treatment cost， and also improve the quality of life of patients.
[Key words] Clinical nursing pathway； Acute pancreatitis； Satisfaction； Nursing model
急性胰腺炎是臨床常见的急腹症之一，近年来随着人类饮食结构的改变和生活水平的提高，该病的发病率有明显增高趋势[1]。目前，各个医院急性胰腺炎治疗中的护理水平参差不齐，存在住院时间长、费用高和患者对疾病了解少等问题。临床护理路径是指在患者住院期间，根据患者所患疾病的诊断和治疗等而指定的一种治疗护理模式[2]。主要是将患者治疗过程中的主要护理活动标准化，保证患者在治疗过程中得到正确的护理，从而达到提高患者护理效果和促进患者康复的目的[3-4]。为探讨临床护理路径在急性胰腺炎患者护理中的应用效果，笔者在2016年1月—2018年5月选取148例急性胰腺炎患者进行了临床实验，现报道如下。
1 资料与方法
1.1 一般资料
方便选取在该院接受治疗的148例急性胰腺炎患者作为研究对象，所有患者均符合急性胰腺炎的诊断标准，表现为急性、持续性腹痛，血清淀粉酶活性高于正常值上限三倍以上，影像学诊断提示患者胰腺有或无形态改变，并排除其他疾病患者。排除标准：伴有严重心、肾和脑部等基础疾病患者，需进行外科手术治疗患者，病程中发生严重感染、休克和败血症等严重并发症需转ICU治疗等患者。所有患者均在该院接受治疗，采用随机数据表法将所有患者分为实验组和对照组，每组74例，其中对照组患者男48例，女26例，年龄均在32～73岁，平均(49.60±10.56)岁；实验组患者男45例，女29例，年龄均在35～77岁，平均(48.94±11.34)岁，两组患者在年龄、性别等方面比较均差异无统计学意义(P>0.05)，具有可比性。该研究试验方案经医院伦理委员会审核通过，患者或家属了解并签署知情同意书。, http://www.100md.com(李秀清)