临床护理路径在脑出血患者护理中的应用效果观察

高存亮

（镇安县医院，陕西 商洛，711500）

浏览次数：94次 下载次数：442次

摘要：

目的 探讨临床护理路径在脑出血患者护理中的应用效果。方法 选择我院神经内科2013年1月至2015年12月收治的358例脑出血患者为研究对象，随机分为对照组和试验组，各179例。对照组接受常规护理，试验组接受临床路径护理，对比两组患者护理效果。结果 试验组护理有效率为90.5%，护理满意度为100.0%；对照组护理有效率为69.8%，护理满意度为 79.9%，组间比较差异显著（P<0.05）。试验组患者并发症发生率、医疗成本和住院时间明显优于对照组（P<0.05）。结论 针对脑出血患者实施临床路径护理，有助于巩固治疗效果，提高患者护理满意度，改善临床护理的质量和效率。

关键词：临床护理路径；脑出血；护理满意度

中图分类号：R473.74文献标志码：A文章编号：2096-1413(2017)07-0170-02

Application effect of clinical nursing pathway in nursing of patients with cerebral hemorrhage
GAO Cun-liang
(Zhen'an County Hospital, Shangluo 711500, China)

ABSTRACT: Objective To explore the effect of clinical nursing pathway in nursing of cerebral hemorrhage. Methods Three hundred and fifty-eight cases of cerebral hemorrhage from January 2013 to December 2015 were selected and randomly divided into control group and experimental group, with 179 cases in each group. The control group received routine nursing care, while the experimental group received clinical nursing pathway, the clinical efficacy was compared between the two groups. Results In the experimental group, the total effective rate was 90.5%, and the nursing satisfaction was 100.0%; In the control group, the total effective rate was 69.8%, and the nursing satisfaction was 79.9%, the nursing efficiency and nursing satisfaction of the experimental group were higher than those of the control group (P<0.05), the experimental group complication rate, medical expenses and hospitalization time were better than those of the control group (P<0.05). Conclusion The clinical pathway nursing for patients with cerebral hemorrhage is helpful to consolidate the treatment effect, improve nursing satisfaction and the quality and efficiency of clinical nursing.
KEYWORDS: clinical nursing pathway; cerebral hemorrhage; nursing satisfaction

参考文献：
[1] 区海玲.脑出血患者实施临床护理路径的护理效果观察[J].中国医药导报,2012,9(26):138-139,141.
[2] 徐晓艳,王涛,张顺英.临床护理路径在脑出血中应用的效果评价 [J].国际护理学杂志,2012,31(10):1863-1865.
[3] 张萍,陈芳芳.全程优质护理在急性心肌梗死患者中的应用效果 [J].中国医学创新,2014,11(16):90-92.
[4] 范志华.临床路径在神经外科护理中的应用分析[J].中外医学研 究,2012,10(33):104-105.
[5] 周敏.临床护理路径在肺尘埃沉着症患者灌洗治疗中的应用[J].中 国实用护理杂志,2012,28(23):12-13.
[6] 周明.临床护理路径对哮喘患者肺功能和生活质量的影响[J].中国 实用护理杂志,2012,28(30):18-19.
[7] 刘建民.微创颅内血肿清除术治疗高血压丘脑出血的临床研究[J]. 中外医学研究,2013,11(28):39.
[8] 唐文淑,冯一平.临床护理路径在脑出血患者健康教育中的应用效果[J].中国医学创新,2011,8(6):118-119.
[9] 张清颜.微创颅内血肿清除术治疗高血压性脑出血的围手术期护理体会[J].中国医学创新,2013,10(3):64-65.
[10] 耿志洁,权月,田丽.无陪护病区住院患者的安全管理[J].中国护理管理,2010,10(6):15-16.
[11] 黄蕙,陈丽,郭子云.优质护理示范工程在临床中的应用[J].中国医学创新,2012,9(25):41-43.
[12] 马文娟.探究神经反射检查在脑出血急性期康复护理中的应用 [J].中外医学研究,2013,11(1):95-96.
[13] 程晓霞,王淑会.脑出血临床护理路径对患者满意度的影响[J].基层医学论坛,2012,16(11):1481-1482.
[14] 谷青华.脑出血患者护理中临床护理路径的应用效果分析[J].中国医药指南,2012,10(13):335-336.
[15] 邓风清,欧阳素琴,苏意心,等.临床护理路径在高血压脑出血微创手术患者中的应用研究[J].护理实践与研究,2012,9(6):1-3.
[16] 高健,张菊芬,尚进,等.临床护理路径对脑出血患者实施效果的Meta分析[J].中华现代护理杂志,2012,18(26):3101-3104.