临床护理路径整合整体护理在晚期血吸虫病腹水型患者中的应用

发布时间：2018-04-26 10:40

本文选题：晚期血吸虫病 + 腹水型　；参考：《中国血吸虫病防治杂志》2016年03期

【摘要】：目的评价晚期血吸虫病(晚血)腹水型患者临床护理路径(CNP)与整体护理整合的效果。方法将226例晚血腹水型患者随机分为观察组与对照组,每组113例。观察组实施CNP整合整体护理,对照组实施整体护理。观察两组患者的临床相关指标,并对其出院前后的生存质量进行评估。结果观察组患者好转率、满意度、健康知识知晓率分别为93.8%、100%、97.4%,均明显高于对照组,差异均有统计学意义(P均0.05);病死率为0,并发症发生率为2.7%,均低于对照组,差异均有统计学意义(P均0.05);住院时间为(12.2±0.7)d,住院费用为(4 725.0±310.1)元,均低于对照组,差异均有统计学意义(P均0.01)。出院后6个月,观察组患者各领域生存质量明显好于对照组,差异均有统计学意义(P均0.05)。结论 CNP整合整体护理能提高晚血腹水型患者的好转率、降低病死率,并能缩短住院时间,节省住院费用。此护理模式适宜在血防专科医院晚血救治临床护理工作中推广应用。
[Abstract]:Objective to evaluate the effect of the integration of clinical nursing pathway (CNP) and holistic nursing in patients with advanced schistosomiasis (late blood) ascites. Methods 226 patients with late blood ascites were randomly divided into observation group (n = 113) and control group (n = 113). CNP integrated holistic nursing was performed in the observation group and holistic nursing was performed in the control group. To evaluate the quality of life (QOL) of the two groups before and after discharge. Results the improvement rate, satisfaction degree and knowledge rate of health knowledge in the observation group were 93.8100 and 97.4, respectively, which were significantly higher than those in the control group (P < 0.05), the mortality rate was 0, the complication rate was 2.7%, and the rate of complication was lower than that in the control group. The difference was statistically significant (P < 0.05), and the hospitalization time was 12.2 卤0.7 days, the hospitalization cost was 4 725.0 卤310.1) yuan, which was lower than that in the control group (P < 0.01). At 6 months after discharge, the quality of life in all areas in the observation group was significantly better than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion CNP integrated holistic nursing can improve the rate of improvement, reduce the mortality rate, shorten the hospitalization time and save the hospital expenses in patients with late blood ascites. This nursing model is suitable for the clinical nursing work of late blood treatment in special blood control hospital.
【作者单位】：湖北省荆州市疾病预防控制中心;湖北中医药高等专科学校;湖北省江陵县血吸虫病防治专科医院;
【分类号】：R473.5

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