临床护理路径在痛风患者健康教育中的效果分析

目的探讨临床护理路径在痛风患者健康教育中的效果。方法2006年9月-2010年11月将220例痛风患者随机分为观察组和对照组，每组110例，比较经过常规健康教育和临床路径健康教育后，两组的遵医行为、痛风相关指标、健康教育满意度之间的差异。结果教育前两组患者遵医行为得分比较差异无统计学意义（P〉0．05）。通过两种健康教育后，观察组5个单项遵医行为得分及总分都比教育前有提升，差异均有统计学意义（P〈0．05）；对照组规律服药和定期检查与教育前差异无统计学意义（P〉0．05），其余4个单项遵医行为得分及总分均比教育前有提升，差异均有统计学意义（P〈0．05）；教育后，观察组5个单项遵医行为得分及总分都比对照组高，差异均有统计学意义（P〈0．05）。结论临床护理路径应用于痛风患者的健康教育，无论是遵医行为得分，一些临床症状的改善，还是健康教育满意度得分都比传统方法进行健康教育的效果明显提高。

Clinical Nursing Path of Health Education for Patients with Gout

Objective To investigate the clinical nursing path of health education in patients with gout. Methods A total of 220 patients with gout treated in People＇s Hospital of Jiangyou from September 2010 to November 2011 were randomly divided into observation group and control group with 110 patients in each. After routine health education for the control group and clinical nursing path health education for the observation group, we compared patients＇ compliance with doctors, gout-related indicators and health education satisfaction degree between the two groups of patients. Results There was no statistically significant difference in compliance with doctors between the two groups before health education （P 〉 0.05）. After health education, the score of five single items on compliance with doctors and the total score for patients in the observation group were all significantly improved （P 〈 0.05）. For patients in the control group, the scores of each item and the total score were also significantly improved （P 〈 0.05） except the item of regular drug-taking and regular health examination （P 〉 0.05）. After health education, all scores and the total score of the observation group were higher than those of the control group （P 〈 0.05）. Conclusion For health education for gout patients, clinical nursing path is better than routine health education in scores of compliance with doctors, improvements of symptoms, and health education satisfaction degree of the patients.