临床护理路径在变应性鼻炎患者皮下免疫治疗中的应用

目的探讨临床护理路径(clinical nurse pathways,CNP)在变应性鼻炎患者皮下免疫治疗中的应用效果。方法将120例行皮下免疫治疗的变应性鼻炎患者随机分为观察组和对照组,每组各60例,观察组患者采用临床路径护理模式,对照组实施常规护理。观察两组患者皮下免疫治疗疗效、局部不良反应、治疗依从性、患者满意度及生活质量情况。结果两组患者治疗半年、1年、2年、3年症状评分重复测量资料分析结果:时间与主效应交互效应比较,F=678.24,P<0.01,说明两组患者不同时间点症状评分是不相等的;时间效应比较,F=47.16,P<0.01,说明随着免疫治疗时间延长,两组患者症状评分均有下降趋势;不同时间段两组患者症状评分比较,均P<0.01,观察组患者症状评分明显低于对照组。两组患者治疗局部不良反应、治疗依从性、生活质量、满意度比较,均P<0.01,差异具有统计学意义,观察组优于对照组。结论临床路径可以提高患者治疗依从性,提高免疫治疗疗效,改善患者生活质量和提高患者满意度。

Effect of clinical nursing pathway on allergic rhinitis in patients with subcutaneous immunotherapy

Objective To explore the effect of clinical nursing pathway（CNP）on allergic rhinitis in patients with subcutaneous immunotherapy.Methods One hundred and twenty patients with allergic rhinitis treated with subcutaneous immunotherapy were equally randomized into the observation group and the control group.The former group were managed with clinical nursing pathway and the latter received only routine nursing care.The curative effect of subcutaneous immunotherapy was compared between the two groups including local adverse reactions,treatment compliance,patients＇ satisfaction and quality of life.Results The scores by symptom assessment at time points of half a year,years 1,2 and 3 showed the symptoms at different time points between the groups were significantly different by the comparison between time and the interactive effect of main effect（F=678.24, P0.01）,and the symptoms in the two groups were both alleviated with the extension of treatment due to the compared time effect at F =47.16, P0.01.The scores on the symptoms in the observation group were significantly lower than those of the control group at different time points（ P 0.01）.The experiment group was better than the control group in terms of local adverse reactions,treatment compliance, quality of life and patient＇s satisfaction（ P 0.01）Conclusion Clinical nursing pathway can improve patient＇s compliance,improve immunotherapy,reduce adverse reactions and improve the quality of life of patients as well as patients＇ satisfaction.