临床护理路径在脑梗死患者中的应用

目的探讨临床护理路径在脑梗死患者中的应用效果。方法将200例脑梗死患者按随机数字表法分为传统组与路径组,每组各100例。路径组患者实施临床护理路径,传统组采用常规护理方法。采用美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)和Barthel指数(barthel index,BI)评价患者神经功能缺损程度和日常生活活动能力,并比较两组患者住院天数、医疗费用、患者的满意度和治疗效果。结果治疗后,路径组患者BI指数得分较传统组高,住院时间较传统组短,住院费用较传统组低,满意度较传统组高,两组比较,差异具有统计学意义(均P<0.05)。结论对脑梗死患者实施临床护理路径可提高患者日常生活活动能力和护理质量,从而缩短患者住院时间及降低医疗费用,提高患者满意度。

Application of clinical nursing pathway in nursing of patients with cerebral infarction

Objective To investigate the effect of clinical nursing pathway on patients with cerebral infarction.Methods Two hundred patients with cerebral infarction were randomized by random digit table into the clinical pathway group and the conventional nursing group.The former was managed with the clinical nursing pathway and the latter received conventional nursing. The neurologic impairment and the activities of daily life were assessed respectively by national institute of health stroke scale（NIHSS） and Barthel index（BI）.The two groups were compared in terms of hospital stay,medical expense,patient’s satisfaction and curative effect.Results Compared to the conventional nursing group,the clinical pathway group was shorter at hospital stay,lower at lower hospitalization cost,higher at patient’s satisfaction and higher in the score by Barthel index,compared to the conventional nursing group（all P0.05）.Conclusion The application of clinical nursing pathway in patients with cerebral infarction can improve the activities of daily living and the quality of care,shorten length of stay,reduce medical cost and increase patients’satisfaction drgree.