自发性气胸外科治疗中临床护理路径的应用研究

目的探讨临床护理路径在自发性气胸手术治疗患者护理中的应用。方法将本院2009年1月～2011年10月收治的100例采用手术治疗的自发性气胸患者按照时间分为观察组和对照组。对照组采用常规护理,观察组采用临床护理路径进行护理,比较两组患者护理后的心理状况,术后咳痰、下地活动的时间,疼痛程度,健康知识的认知程度,并发症,住院时间,总住院费用,患者满意度。结果观察组的SAS、SDS评分显著低于对照组,P〈0.05;术后咳痰、下地活动时间、住院时间显著短于对照组,P〈0.05;术后并发症、住院费用显著少于对照组,P〈0.05;健康知识的认知程度和疼痛程度显著优于对照组,P〈0.05,差异均有统计学意义。结论临床护理路径在自发性气胸中的应用,可提高工作效率和患者的满意度,缩短住院日,减少住院费用,节约医疗资源,保证护理质量,值得推广应用。

Application and research of clinical nursing pathway in the surgical treatment of spontaneous pneumothorax

Objective To study the application of clinical nursing pathway in the surgical treatment of spontaneous pneumothorax patient care. Methods One hundred cases of spontaneous pneumothorax with surgical treatment in our hospital from January 2009 to June 2011 were randomly divided into observation group and control group. Control group was given routine care while the observation group was given clinical nursing pathway care. The mental state, postoperative sputum, activity time, and the postoperative pain degrees, health knowledge degree, complications, length of hospital stay, hospitalization cost, nursing satisfaction rate of two groups after nursing were compared. Results The SAS,SDS scores of observation group were obviously lower than those of the control group (P < 0.05). Postoperative sputum, activity time and length of hospital stay of observation group were significantly shorter than those of control group (P < 0.05). The postoperative complications, hospitalization cost of observation group were significantly less than the control group (P < 0.05). Health knowledge degree and pain degrees of observation group were significantly better than control group (P < 0.05). Conclusion Clinical nursing pathway in the application of spontaneous pneumothorax is helpful to improve the understanding of the patients to disease, shorter hospital stay, reduce the charge of be in hospital, improve the quality of nursing , and worthy of application.