临床护理路径在慢性硬膜下血肿患者中的实施及效果评价

临床护理路径在慢性硬膜下血肿患者中的实施及效果评价严彩琼;廖正步
【期刊名称】《现代医药卫生》
【年(卷),期】2014(30)19
【摘要】Objective To probe the implementation of clinical nursing pathway for chronic subdural hematoma and eval-uate its effect. Methods A total of 49 patients with chronic subdural hematoma received by Department of Neurosurgery in the First Affiliated Hospital of Chongqing Medical University from Mar. 2012 to Sep. 2014 were selected and randomly divided into the pathway group(n=24) and the control
group(n=25). The pathway group was treated with the clinical nursing pathway while the control group with a traditional health care method. The average hospitalization period,costs,postoperative extubation and su-ture removal time,incidence of postoperative complications and patient satisfaction degree were collected and compared between the two groups. Results The average length of stay,hospitalization costs,postoperative extubation and suture removal time [(7.68± 1.35)days,(8
636.95±479.25)yuan,(2.08±1.54)days,(6.07±1.07)days] of the pathw ay group were significantly lower than that [(8.46±2.01)days,(9
318.19±390.84)yuan,(2.73±1.40)days,(7.38±1.62)days] of the control group(P<0.05). The incidence [12.5%(3/24)] of postoperative complications of the pathway group was lower than that[20.0%(5/25)] of the control
group with statistical significance. The patient satisfaction
degree[95.8%(23/24)] was significantly higher than that[88.0%(22/25)] of the control group(P<0.05). Conclusion The implementation of clinical nursing pathway may not only reduce hospitalization costs and duration,but also decrease incidence of postoperative complications and improve the patients' satisfaction degree. It is worthy of clinical promotion due to the advantages in clinic.%目的：探讨临床护理路径在慢性硬膜下血肿患者中的实施情况，并评价其临床效果。

方法选择2012年3月至2013年9月重庆医科大学附属第一医院神经外科收治的49例慢性硬膜下血肿患者，随机分为路径组（24例）及对照组（25例）。

路径组患者采用临床护理路径进行护理，对照组患者采用传统方法进行护理。

比较两组患者的住院时间、住院费用、术后引流管拔管时间、术后拆线时间、术后并发症发生率及患者满意度等指标。

结果路径组患者的住院时间、住院费用、术后引流管拔管时间、术后拆线时间[（7.68±1.35）d、（8636.95±479.25）元、（2.08±1.54）d、（6.07±1.07）d]较对照组
[（8.46±2.01）d、（9318.19±390.84）元、（2.73±1.40）d、（7.38±1.62）d]明显减少，患者并发症发生率[12.5%（3/24）]明显低于对照组[20.0%
（5/25）]，患者满意度[95.8%（23/24）]显著高于对照组[88.0%（22/25）]，
差异均有统计学意义（P<0.05）。

结论对慢性硬膜下血肿患者实施临床护理路径，不仅有助于降低平均住院费用和平均住院时间，而且可提高患者满意度，降低术后并发症发生率，值得临床推广应用。

【总页数】3页(P2889-2891)
【作者】严彩琼;廖正步
【作者单位】垫江县人民医院神经外科，重庆垫江408000;重庆医科大学附属第一医院神经外科，重庆400016
【正文语种】中文
【相关文献】
1.临床护理路径在轻症胰腺炎患者健康教育中的实施及效果评价 [J], 夏莹
2.临床护理路径在脑出血患者中的实施效果评价 [J], 吴慧慧;龚从芬
3.探讨临床护理路径在子宫肌瘤手术患者中的实施及效果评价 [J], 曹美翠;郝迎翠
4.临床护理路径管理在肝病患者护理中的实施效果评价 [J], 刘金玲;杜金华
5.临床护理路径(CNP)在肺癌患者围术期护理中的实施效果评价 [J], 程小兰;金廷会;杨丽
因版权原因，仅展示原文概要，查看原文内容请购买。