临床护理路径在纤维支气管镜检查中的应用

目的 观察临床护理路径和常规护理在纤维支气管镜检查中的应用效果。 方法 选择接受纤维支气管镜检查的患者120例，按接受检查的时间分为对照组(2014年7—12月)和观察组(2015年1—6月)，每组各60例，对照组接受常规护理，观察组接受临床护理路径护理，采用焦虑自评量表(SAS)对2组患者护理前后的焦虑情况进行评估，采用纽卡斯尔病人对护理服务满意度量表(NSNS)调查患者对护理工作的满意程度，使用SPSS 19.0统计学软件对数据进行统计分析，比较2组患者的SAS评分及护理满意度情况。 结果 护理前观察组和对照组患者的SAS评分分别为(46.72±11.34)分和(46.63±10.15)分，2组比较差异无统计学意义(t=0.046,P＞0.05)，护理后观察组和对照组患者的SAS评分分别为(40.01±7.11)分和(45.37±8.01)分，2组相比差异具有统计学意义(t=3.876,P＜0.05)；与护理前相比，观察组在接受护理后SAS评分明显降低(t=3.883,P＜0.05)，对照组评分降低不明显(t=0.755,P＞0.05)；观察组的护理满意度评分为(73.91±1.28)分，对照组为(68.28±3.35)分，观察组明显高于对照组(t=12.160,P＜0.05)。对照组有5例患者出现痰中带血或少量咳血，观察组有3例，均未予以特殊处理，症状在短时间内消失；未出现其他严重并发症。 结论 临床护理路径在纤维支气管镜检查中取得了较好的效果，值得在临床推广，但考虑到一些医院存在护理人员短缺的情况，因此还应结合医院实际情况而定。 

The application of clinical nursing pathway in fiber bronchoscope

Objective Observe the application effect of clinical nursing pathway and routine nursing in fiber bronchoscope. Methods Selected 120 cases of patients who adopted fiber bronchoscope.Divided them into control group(from July to December 2014) and observation group(from January to June 2015) according to check time, each group 60 cases.Control group adopted routine nursing and observation group adopted clinical nursing pathway.Before and after nursing,used Self-Rating Anxiety Scale(SAS) evaluate the anxiety situation of two groups.Used Newcastle Patients Satisfaction of Nursing Service(NSNS) research nursing satisfaction.Used SPSS 19.0 analyze observation data.Observed and compared SAS and satisfaction score of two groups. Results Before nursing,the SAS of observation group was 46.72±11.34,control group was 46.63±10.15.There was no obvious difference between two groups in SAS aspect(t=0.046,P＞0.05).After nursing,the SAS of observation group was 40.01±7.11,control group was 45.37±8.01,the difference was significantly (t=3.876,P＜0.05).Compared with pre-nursing,the SAS of observation group reduced obviously(t=3.883,P＜0.05),and there was no significant difference in control group(t=0.755,P＞0.05).The satisfaction of observation group was 73.91±1.28,and control group was 68.28±3.35,observation group was obviously higher than control group(t=12.160,P＜0.05).There were 5 cases of blood-stained sputum or few hemoptysis in control group and 3 cases in observation group.They all didn’t adopted special handling,the symptom was disappear in a short time.There was no other serious complication. Conclusion The effect of clinical nursing pathway in fiber bronchoscope is good,it deserves to be used widely.But in consideration of some hospitals are understaffed,so it should be decided combine with hospital practical situation.