临床护理路径在自发性气胸手术治疗患者中的应用及效果评价

目的 探讨临床护理路径在自发性气胸患者中的实施效果.方法 采用配对研究设计,将50名自发性气胸患者按1∶1比例配对并分配到实验组和对照组,配对比较两组患者的住院日、住院费用、术后恢复、知识掌握情况及满意度.结果 实验组和对照组患者术后第1天有效咳痰的比例分别为88%和20%,差异有统计学意义（P＜0.01）;实验组和对照组患者平均住院日分别为（7.6±3.0）d和（10.6±4.1）d,差异有统计学意义（P＜0.05）;两组患者住院费用差异无统计学意义（P＞0.05）;实验组和对照组患者的知识掌握情况得分分别为（23.6±1.0）分和（10.6±4.1）分,差异有统计学意义（P＜0.01）,患者满意度得分分别为（9.7±0.5）分和（8.6±1.7）分,差异有统计学意义（P＜0.01）.结论 临床护理路径应用于自发性气胸手术治疗的患者中,可以促进患者恢复、缩短住院天数、提高患者的知识掌握情况和满意度.

Applying and effect of clinical nursing pathway in spontaneous pneumothorax patient underwent operation

Objective To investigate the effects of the implementation of clinical nursing pathway among spontaneous pneumothorax patients underwent operative. Methods Paired design was applied. Fifty control group. The average hospitalization days, cost, recovery after surgery, mastery of knowledge, and satisfaction degree of the two groups were compared. Results 1 day postoperation, effective expectoration rate of experimental group was 88.0%, control group was 20%, the difference was statistically significant(P ＜0. 01);The average hospitalization days in experimental and control groups were (7.6 ± 3. 0) days and (10.6 ± 4. 1)days respectively, the difference was statistically significant(P ＜0. 05); The cost between the two groups were not statistically different (P ＞ 0. 05); The scores of patients' knowledge mastery in experimental and control groups were (23.6 ± 1.0) and (10.6 ± 4. 1) respectively, the difference was statistically significant(P ＜0. 01), the satisfaction degree scores were (9.7 ± 0.5) and (8.6 ± 1.7) respectively, the difference was statistically significant (P ＜ 0. 01). Conclusions Clinical nursing pathway applying in spontaneous pneumothorax operation can promote patient's recovery, reduce the average hospitalization, improve knowledge mastery and satisfaction.