| 冠状动脉搭桥术围术期临床护理路径的实施与评价 |
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| 引用本文： | 魏红蕾,吕探云,陆敏敏,林雷. 冠状动脉搭桥术围术期临床护理路径的实施与评价[J]. 护理学杂志, 2009, 24(10). DOI: 10.3870/hlxzz.2009.10.022 |
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| 作者姓名： | 魏红蕾 吕探云 陆敏敏 林雷 |
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| 作者单位： | 复旦大学护理学院,上海,200032;上海市第一人民医院护理部;复旦大学护理学院,上海,200032;上海市第一人民医院护理部 |
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| 摘 要： | 目的 探讨体外循环下冠状动脉搭桥术(CABG)围术期临床护理路径(CABGCNP)的实施效果.方法 将87例CABG患者按照入院时间随机分为对照组(44例)和实验组(43例).对照组给予常规CABG围术期护理.实验组按自行编制的CABG-CNP文本实施护理.以分级护理与护理文件书写质量、Barthel指数、患者对护理工作满意度、治愈率、并发症发生率、住院日和住院费用为评价指标.对CABG-CNP的实施效果进行评价.结果 实验组分级护理与护理文件书写质量、患者出院时Barthel指数得分、患者对护理整体满意度、总住院日和围术期各时间段住院日及总住院费用、手术前期费用和手术后期病室费用显著优于对照组(P<0.05,P<0.01);两组患者治愈率和术后并发症发生率比较,差异无统计学意义(均P>0.05).结论 实施CABG-CNP可提升围术期护理质量,促进患者康复,提高患者对护理工作的满意度,缩短住院日,减少患者的住院费用.在当前医疗形势下开展CNP模式具有较强的操作性和实用性,有助于充分体现护理专业的特色.
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| 关 键 词： | 冠心病 冠状动脉搭桥术 围术期 临床护理路径 护理 |
Implementation and Evaluation of CABG-CNP |
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| WEI Honglei,LV Tanyun,LU Minmin,LIN Lei. Implementation and Evaluation of CABG-CNP[J]. Journal of Nursing Science, 2009, 24(10). DOI: 10.3870/hlxzz.2009.10.022 |
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| Authors: | WEI Honglei LV Tanyun LU Minmin LIN Lei |
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| Affiliation: | Nursing College;Fudan University;Shanghai 200032;China |
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| Abstract: | Objective To explore the effect of self-designed CABG-CNP.Methods A total of 87 patients underwent CABG were randomly divided into a control group(44 cases) and an experimental group(43 cases).Patients in the control group were given conventional CABG perioperative nursing care,while their counterparts in the experimental group were adopted CABG-CNP to perform perioperative nursing care.Evaluation indexes of clinical nursing quality such as grading nursing and documentation,patients' Barthel Index(BI),patie... |
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| Keywords: | coronary artery disease coronary artery bypass grafting perioperative stage clinical nursing path nursing |
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