| 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 |
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| 引用本文： | 袁梅枝,孙静茹,陈涛,张小玉,何亮才,王加松. 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[J]. 中国血吸虫病防治杂志, 2016, 28(3): 319-322 |
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| 作者姓名： | 袁梅枝 孙静茹 陈涛 张小玉 何亮才 王加松 |
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| 作者单位： | 1 湖北省荆州市疾病预防控制中心 （荆州 434000）； 2湖北中医药高等专科学校； 3湖北省江陵县血吸虫病防治专科医院 |
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| 摘 要： | 目的 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 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 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 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。
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| 关 键 词： | 晚期血吸虫病 腹水型 临床护理路径 整体护理 临床指标 生存质量 |
Application of clinical nursing path integrated with holistic nursing in advanced schistosomiasis patients with ascites |
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| Affiliation: | 1 Jingzhou City Center for Disease Control and prevention，Hubei Province，Jingzhou 434000，China；2 Hubei College of ChineseMedicine， China； 3 Jiangling Specialist Hospital of Schistosomiasis Prevention and Control， Hubei Province，China |
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| Abstract: | Objective Objective To evaluate the effect of the clinical nursing path integrated with the holistic nursing on advancedschistosomiasis patients with ascites. Methods Methods A total of 226 advanced schistosomiasis patients with ascites were randomly di?vided into a control group and an experimental group（113 cases each group） . The subjects in the experimental group werenursed by the clinical nursing path integrated with the holistic nursing，while those in the control group were nursed only by theholistic nursing. Then the clinical relevant indexes of the two groups were observed，and the quality of life of the patients beforeand after hospital discharge was assessed. Results Results The improvement rate，satisfaction degree，and awareness rate of healthknowledge of the patients in the experiment group were 93.8%，100% and 97.4%，respectively，which were significantly higherthan those of the control group（all P < 0.05） . The mortality rate and the complication rate of the patients in the experimentalgroup were 0 and 2.7%，respectively，which were significantly lower than those of the control group（both P < 0.05） . In addi?tion，the average hospitalization days and the hospitalization cost of the experiment group were（12.2 ± 0.7）d and （4 725.0 ±310.1） Yuan respectively，which were less than those of the control group（both P < 0.01） . When 6 months after the dischargefrom hospital，the quality of life of the patients in the experimental group in various fields was significantly better than that of thecontrol group （all P < 0.05） . Conclusions Conclusions The clinical nursing pathway integrated with holistic nursing can effectively improvethe improvement rate and decrease the mortality of the advanced schistosomiasis patients with ascites；meanwhile，it can short?en the hospitalization time and save the hospitalization cost. Therefore，this nursing model is suitable for popularization and ap?plication in the treatment and nursing work of the advanced schistosomiasis assistance. |
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| Keywords: | Advanced schistosomiasis Ascitic type Clinical nursing path Holistic nursing Clinical index Quality of life |
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