临床护理路径结合个案管理模式在永久性起搏器植入患者中的应用

目的：探讨临床护理路径结合个案管理模式在永久性起搏器植入患者中的应用效果。方法选择行永久性起搏器植入术的60例患者，随机分为观察组和对照组各30例。观察组患者实施临床护理路径结合个案管理模式，对照组接受传统护理模式。对比两组的住院天数、并发症发生例数、疾病知识问卷得分、患者满意度及焦虑水平。结果观察组与对照组相比，住院天数少，并发症例数少，疾病知识问卷得分高，患者满意度高，差异均有统计学意义(P<0.05)；两组患者焦虑水平在入院时差异无统计学意义(P>0.05)，出院时两组比较差异均有统计学意义(P<0.05)。结论在永久性起搏器植入患者中实施临床护理路径与个案管理相结合的模式，可以明显缩短住院天数，减少并发症，提高患者疾病知识掌握程度，提高患者满意度，减轻患者焦虑水平。

Application of clinical nursing pathway combined with individual case management model in permanent cardiac pacemaker implantation patients

Objective To investigate the effect of clinical nursing pathway combinied with individual case management model in permanent cardiac pacemaker implantation patients. Methods A total of 60 patients with perma-nent cardiac pacemaker implantation was selected and divided into an observation group and a control group, with 30 cases in each group. The observation group carried out clinical nursing pathway combined with individual case maneg-ment model, and the control group acceptted the traditional nursing model. The hospitalization days, cases of happening complications, score of disease knowledge questionnaire, patient s' satisfaction and anxiety level of the two groups were compared. Results Compared to the control group, the observation group had fewer hospitalization days and complica-tions, higher score of disease knowledge questionnaire and higher patient satisfaction level (P<0. 05) . The anxiety lev-el appears no differences during admitting hospital (P>0. 05), but the anxiety level of observation group obviously lower than that of the control group when discharged from hospital (P<0. 05) . Conclusions Carry out with clinical nursing pathway combined with individual case manegment model in the permanent cardiac pacemaker implantation can signifi-cantly shorten the hospitalization days, reduce complications, improve patients' master degree of disease and patients' satisfaction, and reduce patients' anxiety level.