临床护理路径在经外周静脉置入中心静脉导管化疗患者健康教育中的应用研究

目的 探讨临床路径在经外周静脉置入中心静脉导管（PICC）化疗患者健康教育中的作用.方法 行PICC的患者164例,随机分为对照组和实验组.对照组采用传统的健康教育方法,实验组采用临床护理路径模式,对患者及家属进行健康指导.比较两组PICC置管知识掌握率、服务质量满意度、健康教育达标率、疾病治疗信心、住院天数、并发症.结果 实验组健康宣教的达标率及满意度、对PICC置管知识掌握率、对疾病的治疗信心明显高于对照组,患者的住院天数和并发症的发生率明显低于对照组（P＜0.01）.结论 PICC置管者应用临床护理路径进行护理,能增加患者对健康知识的掌握度、提高了患者的满意度、节省了护理人力资源、同时也能提高护理服务质量.

Application of clinical nursing pathways in health education for patients with chemotherapy by PICC

Objective To explore the effect of application of clinical nursing pathways on health education for patients with chemotherapy by PICC. Methods The 164 cases of patients with PICC lines were randomly divided into control group and experimental group. The control group underwent the traditional methods of health education. Experimental group of clinical nursing path model were guided to patients and their families. The items were compared between groups, such as the rate of mastering knowledge, quality of service satisfaction, health education, confidence in disease treatment, hospital days, complications. Results The healthy missionary of the compliance rate and satisfaction, knowledge and grasp of the PICC catheter rates,confidence in the treatment of the disease were significantly higher in experimental group. Patient days of hospitalization and complications were significantly lower than those of the control group ( P < 0.01).Conclusions PICC catheter path by application of clinical nursing care can increase health knowledge of the patients, improve the patient's satisfaction, save nursing human resources, and improve the quality of nursing service.