临床护理路径在急性心肌梗死介入治疗中的应用效果研究

目的:研究评价临床护理路径模式在急性心肌梗死患者介入治疗术中应用的效果。方法:将86例行介入治疗的急性心肌梗死患者随机分为对照组与观察组,每组各43例,对照组采用常规护理,观察组采用临床护理路径进行护理。观察两组患者的并发症、住院时间、住院费用和对护理工作的满意率等指标。结果:观察组患者满意率高于对照组,两组相比差异有统计学意义(t=6.15,P<0.05)。观察组并发症的发生情况明显低于对照组,两组相比差异有统计学意义(t=5.58,P<0.05)。观察组患者的住院时间、卧床时间均明显短于对照组,住院费用及日均费用均显著少于对照组,两组相比差异有统计学意义(t=6.25,t=6.13;P<0.05)。结论:急性心肌梗死介入治疗中应用临床护理路径可以缩短患者住院时间、降低患者医疗费用、提高护理工作满意率,值得临床推广。

Research on application effect of clinical nursing pathway in acute myocardial infarction interventional treatment

Objective： To study the application effect of clinical nursing pathway in acute myocardial infarction interventional treatment. Methods： Eighty-six cases with routine intervention in treatment of acute myocardial infarction patients were randomly divided into control group and observation group, and 43 cases in each group. The conventional nursing was provided in control group, clinical nursing path was provided to observation group. Some indicators were observed between the two groups of patients in complications, the length of time, costs and to the satisfaction of nursing work etc. Results： The patient’s satisfaction rate is far higher in observation group than control group, the difference is statistically significant （t=6.15, P0.05）. The complications situation in observation group was obviously lower than control group. the difference is also statistically significant（t=5.58, P0.05）. The patients in hospital time, bed time in observation group were significantly shorter than that in control group and hospital costs and average daily cost were significantly less than that control group（t=6.25, t=6.13, P0.05）. Conclusion： The interventional treatment for acute myocardial infarction application of clinical nursing path can shorten hospitalization time, reduce patient’s medical costs, improve nursing satisfaction rate. It is worth clinical promotion.