临床护理路径在尘肺大容量肺灌洗中的实施效果

目的：研究临床护理路径( CNP)应用于尘肺患者大容量肺灌洗治疗中的实施效果。方法将50例大容量肺灌洗治疗尘肺患者按住院顺序分为实验组和对照组,对照组25例实施传统护理模式,实验组25例实施CNP护理模式,对比两组治疗护理效果。结果两组灌洗前后临床症状综合评分比较有显著差异,实验组患者灌洗后3d肺通气功能较灌洗前有改善趋势,实验组患者满意度评分明显高于对照组。住院费用：实验组平均每人(15238±1389.75)元,对照组平均每人(18471±1443.39)元,两组比较差异有极显著意义。住院天数：实验组平均每人(11.25±1.03)d,对照组平均每人(16.45±1.23)d,两组比较有极显著差异。结论 CNP应用于尘肺大容量肺灌洗治疗,能提高医疗护理质量,提高患者满意度,降低住院费用,缩短住院时间,值得在临床中使用和推广。

Implementation effect of clinical nursing pathway in the whole lung lavage treatment for pneumoconiosis patients

Objective To study the implementation effect of clinical nursing pathway ( CNP) for the pneumo-coniosis patients who received massive whole lung lavage. Methods A total of 50 patients who received massive whole lung lavage were randomly divided into control group ( n=25 ) and experimental group ( n=25 ) in hospitalization or-der. Traditional nursing model was applied to the patients in control group, while CNP nursing model was applied to the patients in observation group. The effects of treatment and nursing of the two groups were compared. Results There were significant differences about the overall scores for symptoms of the two groups before and after the lung lavage treat-ment. Pulmonary function test of patients in the experimental group was improved after 3 days' treatment. Satisfaction of patients in the experimental group were significantly higher than that of the control group. The average hospitalization ex-penses of the experimental group and control group was ( 15 238 ± 1 389. 75 ) yuan and ( 18 471 ± 1 443. 39 ) yuan re-spectively. The average hospitalization days of the experimental group and control group were ( 11. 25 ± 1. 03 ) d and (16. 45±1. 23) d respectively. There were significant differences in terms of the hospitalization expenses and hospitaliza-tion days between the control group and the observation group. Conclusions It is effective to apply CNP in the treat-ment of massive whole lung lavage. CNP can improve nursing quality and patients ' satisfaction, reduce hospitalization expenses, shorten hospitalization days, so it is worthy of further study and clinical implementation.