临床护理路径在先天性多指畸形手术患儿中的应用

目的：探讨临床护理路径在治疗先天性多指畸形手术患儿中的应用效果。方法将2011年10月-2013年10月住院治疗的先天性多指畸形109例手术患儿作为研究对象，按照简单随机抽样的方法分为干预组54例和对照组55例，对照组按照常规医嘱进行护理，干预组按照指定的临床护理路径观察表进行护理，比较两组患儿平均住院时间、疼痛程度和平均住院费用，以及患儿家属对护理质量满意度。结果干预组患儿的平均住院时间、疼痛程度和平均住院费用分别为（4．32±0．31）d，（4．67±1.24）分，（4662．39±365．2）元，均低于对照组（4．98±0．48）d，（5．28±1．18）分，（6038．18±285．8）元，差异具有统计学意义（ t值分别为8．510，2．631，21．925；P＜0．05）；干预组患儿家属在服务态度、健康教育、技术水平、饮食指导、心理支持和关爱患儿6个方面的满意度分别为98．15％，96．29％，94．44％，98.15％，100.00％，98．15％，均高于对照组83．64％，83．64％，81．82％，85．45％，87．27％，81．82％，差异具有统计学意义（χ2值分别为6．886，4．813，4．135，5．796，7．344，8．008；P＜0．05）。结论临床护理路径的应用可提高医院的运行效率，减少患者住院时间，降低患儿疼痛程度和医疗费用，提高患儿家长的满意度。

Application of clinical nursing path in children with congenital polydactyly surgery

Objective To explore the application effect of clinical nursing path in children with congenital polydactyly surgery .Methods One hundred and nine children with congenital polydactyly surgery from October 2011 to October 2013 were chosen and were divided into the intervention group （ n=54 ） and the control group （n=55） according to the simple random sampling method .The control group received the routine nursing , and the intervention group received the nursing according to the observation form of the clinical nursing path.The average hospitalization days , the degree of pain and the average medical expenses , and the satisfaction of patient＇s parents were compared between two groups .Results The average hospitalization days , the degree of pain and the average medical expenses in the intervention group were respectively （4.32 ±0.31） d, （4.67 ±1.24） and （4 662.39 ±365.2） yuan, and were lower than （4.98 ±0.48） d, （5.28 ±1.18） and （6 038.18 ±285.8） yuan in the control group, and the differences were statistically significant （t=8.510,2.631, 21.925, respectively; P〈0.05）.The satisfaction of patient＇s parents including the service attitude , health education, technical level, diet instruction, psychological support and care for children were respectively 98.15%,96.29%,94.44%,98.15%,100.00%,98.15% in the intervention group, and were higher than 83.64%,83.64%,81.82%,85.45%,87.27%,81.82% in the control group, and the differences were statistically significant （χ2=6.886,4.813,4.135,5.796,7.344,8.008, respectively;P〈0.05）.Conclusions Application of clinical nursing path can improve the operating efficiency of the hospital , and reduce the patients,hospitalization days, and decrease the degree of pain and medical expenses , and increase the satisfaction of patient＆#39;s parents.