临床护理路径在四肢骨折术后感染者中的整体护理效果

目的探讨临床护理路径在四肢骨折手术后感染者中的整体护理效果。 方法以2012年7月至2014年12月本院收治的83例四肢骨折手术后感染者为研究对象，按照住院号奇偶分对照组和观察组，其中对照组患者给予传统护理模式，观察组患者采用临床路径指导下的整体护理模式。比较两组患者的平均住院时间、其他并发症发生率、护理工作的满意度、健康教育知晓率及焦虑抑郁情绪水平。 结果观察组患者的平均住院天数、出院时焦虑及抑郁水平均显著低于对照组，差异均具有统计学意义（t = 2.443、P = 0.017，t = 3.118、P = 0.002，t = 4.223、P = 0.000），而出院时护理工作满意度和健康教育知晓率显著高于对照组，差异均具有统计学意义（χ²= 6.553、P = 0.038，χ²= 7.695、P = 0.021），两组患者其他并发症发生率差异无统计学意义（χ²= 0.678、P = 0.410）。 结论临床护理路径和整体护理模式的结合能够更好的为四肢骨折术后感染者提供护理支持，减轻患者的负担。

General nursing effects of clinical nursing pathway in the infected patients undergoing extremity fracture surgery

ObjectiveTo investigate the general nursing effects of clinical nursing pathway in the infected patients with extremity fracture surgery. MethodsTotal of 83 infected patients with extremity fracture surgery in our hospital from July 2012 to December 2014 were enrolled. All patients were divided into observation group and control group according to their admission number. The control group received routine nursing mode while the observation group received general nursing mode under the guidance of clinical pathway. The hospitalization time, other complication occurrence, nursing satisfaction, health knowledge and the levels of anxiety and depression between those two groups were compared, respectivly. ResultsThe mean hospitalization period, levels of anxiety and depression at discharge of observation group were significantly lower than those of control group (t = 2.443, P = 0.017; t = 3.118, P = 0.002; t = 4.223, P = 0.000), while nursing satisfaction and health knowledge at discharge of observation group were significantly higher than those of control group (χ²= 6.553, P = 0.038; χ²= 7.695, P = 0.021). There was no significant difference in other complication occurrence between the two groups (χ²= 0.678, P = 0.410). ConclusionsThe combination of clinical nursing pathway and general nursing mode could provide better nursing support and decrease the burden for patients with extremity fracture surgery.