临床护理路径在过敏性紫癜患儿治疗中的应用研究

发布时间：2017-12-27 03:24

本文关键词：临床护理路径在过敏性紫癜患儿治疗中的应用研究　出处：《吉林大学》2015年硕士论文　论文类型：学位论文

【摘要】：研究目的:通过将临床护理路径模式应用在过敏性紫癜患儿的治疗中确定可以被应用在该种疾病治疗的标准临床护理路径。结合对过敏性紫癜患儿症状的恢复疹子消退时间,护理质量提升,住院天数住院费用以及护士书写护理记录时间的影响。探索出实用,有效且可行的针对过敏性紫癜患儿的临床护理路径。同时借此打造一支团结和谐的护理团队,构建科学的护理模式。研究方法:建立专家小组,应用过敏性紫癜患儿的医师版,护理版及患儿版的临床护理路径。通过培训,使参与临床护理路径的小组成员掌握操作规程。选取2014年9月~2015年8月收治过的153例过敏性紫癜患儿进行研究,实验组患儿年龄3~14岁,平均5.86±1.99,女30例,男48例。对照组患儿年龄3~14岁,平均6.36±2.33,女30例,男45例。经统计学分析,实验组与对照组患儿的性别与年龄分布无显著性差异(P0.05),具有统计学可比性。实验组在临床护理路径模式下进行护理,对照组在传统护理模式下进行护理,通过评价疹子消退时间,对护理工作的满意度,患儿的健康知识,患儿住院日,患儿住院费用,护士书写护理记录时间等指标,来观察护理质量以及其他指标在临床护理路径模式下的变化。研究结果:实验组的患儿的疹子消退时间明显少于对照组(P0.0001)。实验组患儿对于护理工作的评分要显著高于对照组(P0.0001)。两组患儿在不同护理模式干预下,最后在患儿出院前测得的健康知识掌握情况得分分别为:70.48分和80.03分,经t检验分析,有显著统计学差异性(P0.0001)。采用t检验对两组患儿的住院时间进行比较,结果发现实验组的住院时间明显少于对照组,差异有显著性(P0.0001)。采用t检验对两组患儿的住院费用进行比较,结果发现实验组的住院费用明显少于对照组,差异有显著性(P0.0001)。采用t检验对两组患儿责任护士书写护理记录时间进行比较,结果发现实验组的责任护士书写护理记录的时间明显少于对照组,差异有显著性(P0.0001)。
[Abstract]:Research purposes: through the application of clinical nursing path model in the treatment of children with Henoch Schonlein purpura, we can determine the standard clinical nursing path that can be applied to the treatment of this disease. The combination of allergic purpura symptoms recovered? Rash subsided time, improve the quality of nursing care, hospitalization expenses and hospitalization days? Influence nurses in nursing record writing time. To explore the practical, effective and feasible clinical nursing path for children with Henoch Schonlein purpura. At the same time to build a united and harmonious nursing team, to build a scientific nursing model. Research methods: establish an expert group, apply the doctor version of the children with anaphylactoid purpura, the nursing version and the clinical nursing path of the children's edition. Through training, the group members involved in the clinical nursing path have mastered the operating procedures. 153 children with anaphylactoid purpura admitted in August ~2015 in September 2014 were studied. The age of children in the experimental group was 3~14 years old, with an average of 5.86 + 1.99, 30 female and 48 male. The age of the control group was 3~14 years old, the average 6.36 + 2.33, the female 30 cases, and the male 45 cases. The statistical analysis showed that there was no significant difference in sex and age distribution between the experimental group and the control group (P0.05), with a statistical comparability. The experimental group of nursing care in the clinical nursing pathway, the control group in the traditional nursing mode of care, by evaluating the rash subsided time, the nursing work satisfaction, health knowledge of children, children with hospitalization and hospitalization expenses of children, nursing record writing between nurses and other indicators, to observe the quality of nursing and other changes in the index clinical nursing path mode. Results: the experimental group with the rash subsided time was significantly less than the control group (P0.0001). The score of nursing care in the experimental group was significantly higher than that of the control group (P0.0001). Two groups of children in different nursing mode intervention, and finally, before the discharge of children, the scores of health knowledge were 70.48 points and 80.03 points respectively. T test showed significant difference (P0.0001). T test was used to compare the hospitalization time of the two groups of children. The results showed that the time of hospitalization in the experimental group was significantly less than that in the control group, and the difference was significant (P0.0001). T test was used to compare the hospitalization expenses of the two groups of children. The results showed that the cost of hospitalization in the experimental group was significantly less than that of the control group, and the difference was significant (P0.0001). T test was used to compare the time of writing nursing records between two groups of children. It was found that the time of writing nursing records in the experimental group was significantly shorter than that in the control group, and the difference was significant (P0.0001).
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.72

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