临床路径在慢性鼻窦炎围手术期健康教育中的应用

探讨临床路径在慢性鼻窦炎围手术期健康教育中的应用效果。方法：将160例慢性鼻窦炎患者随机分为实验组和对照组,各80例,均在全麻下行鼻内镜下鼻窦手术。对照组采用传统的口头宣教为主的护理模式,观察组在传统护理模式基础上采用标准化的临床路径进行护理。出院时均发放调查问卷,比较患者健康教育知识掌握情况、平均住院天数、人均费用、护理满意度。结果：实验组患者对疾病相关知识掌握评分明显高于对照组（P〈0.05）;实验组患者住院天数、平均费用明显低于对照组（P〈0.05）;实验组患者护理满意度明显高于对照组（P〈0.05）。结论：采用临床护理路径进行疾病护理能够提高慢性鼻窦炎患者的满意度,降低住院费用和住院天数,进一步促进患者健康。

Application of clinical pathway in chronic sinusitis healthy education during perioperative period

To investigate the application effect of clinical pathway in chronic sinusitis healthy education during perioperative period.Methods： 160 patients with chronic sinusitis operated by nasal endoscope under general anesthesia,were ramdomly and averagely divided into experimental group and control group.The former received traditional oral education,on the basis of that,the latter,was nursed by standardized clinical nursing pathway. Questionnaires were provided to compare healthy education effect,average hospitalization days,average medical expenditure,and nursing satisfaction after discharge.Results： Experimental group got obvious higher scores in understanding the disease knowledge （P〈0.05）,whose average hospitalization days and average expenditure were considerable fewer and lesser than control group （P〈0.05）.The fomer got much better nursing satisfaction too（P〈0.05）. Conclusion： Application of clinical nursing pathway in chronic sinusitis could improve nursing satisfaction,lower medical expenditure and reduce average hospitalization days,therefore improve health level.