临床护理路径在冠心病患者中的应用效果评价

目的：探讨临床护理路径在冠心病患者中的应用及效果评价。方法将200例冠心病患者按随机数字表法分为观察组和对照组各100例。观察组建立冠心病患者住院期间临床护理路径表，严格按临床护理路径表进行护理，对照组采用常规护理方法进行护理。观察比较两组患者住院期间发生便秘和心脏事件情况，并比较两组患者平均住院日、家属满意度评分、健康教育时间、患者健康教育知识掌握情况等。结果观察组患者住院期间便秘、心肌梗死、不稳定性心绞痛及猝死发生例数分别为4，10，8，0例，均少于对照组的22，18，16，6例，差异有统计学意义（χ2分别为16．05，8．27，7．93，9．58；P＜0．05）。观察组患者的平均住院时间及健康教育时间分别为（8．2±3．1）d，（11．5±4．1）h，均少于对照组的（15．1±3．8）d，（23．1±3．5）h，差异有统计学意义（t分别为13．1，7．5；P＜0．05）。患者及家属的健康教育知识得分、满意情况评分分别为（92．3±4．5），（98．2±4．1）分，均优于对照组的（76．2±3．3），（90．7±3．9）分，差异有统计学意义（t分别为-12．34，-10．22；P＜0．05）。结论临床护理路径应用于冠心病患者，可改善患者便秘状态，减少心脏事件发生，显著提高冠心病患者生活质量。

Effect of clinical nursing pathway on nursing of patients with coronary heart disease

Objective To explore the application and effect of clinical nursing pathway on nursing of patients with coronary heart disease .Methods Two hundred patients with coronary heart disease were divided into the control group and the observation group according to the random number table , each with 100 cases. The observation group received the nursing according the clinical nursing pathway during the hospitalization , and the control group received the conventional nursing .The incidence rates of constipation and cardiac events were observed during the hospitalization , and the average days of hospitalization , the score of satisfaction of families , the time of health education and the situation of grasping the knowledge of health education were compared in two groups .Results The cases of the occurrence of constipation , myocardial infarction , unstable angina and sudden death were respectively 4, 1, 8, 0 cases in the observation group , and were less than 22, 18, 16, 6 cases in the control group, and the differences were statistically significant （χ2 =16.05, 8.27, 7.93, 9.58, respectively;P＆lt;0.05）.The average days of hospitalization and the time of health education were （8.2 ±3.1）d, （11.5 ±4.1）h in the observation group, and were less than （15.1 ±3.8）d, （23.1 ±3.5）h in the control group, and the differences were statistically significant （t=13.1, 7.5, respectively;P〈0.05）.The scores of the knowledge of health education and the satisfaction of patients and their families were respectively （92.3 ± 4.5）, （98.2 ±4.1） in the observation group, and were better than （76.2 ±3.3）, （90.7 ±3.9） in the control group, and the differences were statistically significant （ t =-12.34, -10.22, respectively; P〈0.05）.Conclusions The application of clinical nursing pathway in patients with coronary heart disease can improve the incidence rates of constipation and cardiac events , and can significant increase the quality of life in patients with coronary heart disease .