护患两版临床路径对心房颤动导管消融的效果评价

目的 探讨临床路径在导管消融治疗心房颤动（下称房颤）中的实践效果.方法 以我科2010年3月～2013年7月期间181例行导管消融治疗的房颤患者为研究对象,并将其随机分为实验组和对照组,对照组90例采用一般护理方法按常规进行诊疗、护理和健康教育指导,实验组91例采用CNP护理方法,即根据导管消融治疗房颤患者病情制定健康教育临床路径,由经过统一培训的责任护理人员从入院到出院全程负责,有计划、有组织地对患者实施健康指导和护理.结果 两组患者的平均住院日、平均住院费用、两组患者术后舒适度及不良反应的比较、两组满意度调查问卷结果比较、两组患者健康指导测评的比较均有显著性差异（P ＜0.01或P＜0.05）.结论 导管消融治疗房颤中应用临床路径可显著缩短平均住院日,降低平均住院费用,减少术后并发症,提高了患者的满意度,提高了患者康复知识水平.

Effect of clinical pathway application on catheter ablation of atrial fibrillation

Objective To investigate the practical effect of clinical pathway on catheter ablation of atrial fibrillation.Methods From March 2010 to July 2013,one hundred and eight-one patients with atrial fibrillation were randomized into the experimental group （n =91） and the control group （n=90）.The patients in experimental group were nursed using clinical nursing pathway CNP of atrial fibrillation catheter ablation,while those in control group using the routine method.CNP method is to design CNP map according to the patient＇s individual status and take charge of the patient by a trained responsible nurse from hospitalization to discharge,which means guiding and nursing patient in a planned and organized way.Results Average hospitalization duration,average hospitalization cost,patient satisfaction and atrial fibrillation knowledge score were significantly different between the two groups （P ＜0.01 or P ＜0.05）.Conclusion For patients with atrial fibrillation undergoing catheter ablation,application of clinical pathway could significantly decrease average hospitalization duration and cost,while increasing knowledge level of atrial fibrillation and patient satisfaction.