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目的评价晚期血吸虫病(晚血)腹水型患者临床护理路径(CNP)与整体护理整合的效果。方法将226例晚血腹水型患者随机分为观察组与对照组,每组113例。观察组实施CNP整合整体护理,对照组实施整体护理。观察两组患者的临床相关指标,并对其出院前后的生存质量进行评估。结果观察组患者好转率、满意度、健康知识知晓率分别为93.8%、100%、97.4%,均明显高于对照组,差异均有统计学意义(P均<0.05);病死率为0,并发症发生率为2.7%,均低于对照组,差异均有统计学意义(P均<0.05);住院时间为(12.2±0.7)d,住院费用为(4 725.0±310.1)元,均低于对照组,差异均有统计学意义(P均<0.01)。出院后6个月,观察组患者各领域生存质量明显好于对照组,差异均有统计学意义(P均<0.05)。结论 CNP整合整体护理能提高晚血腹水型患者的好转率、降低病死率,并能缩短住院时间,节省住院费用。此护理模式适宜在血防专科医院晚血救治临床护理工作中推广应用。
Objective To evaluate the effect of integrating clinical nursing pathway (CNP) with holistic nursing care in patients with advanced schistosomiasis (late blood). Methods 226 patients with ascites of late-blood type were randomly divided into observation group and control group, 113 cases in each group. The observation group implemented CNP integration and overall care, and the control group implemented overall care. The clinical indicators of both groups were observed, and the quality of life before and after discharge was evaluated. Results The awareness rate of improvement, satisfaction and health knowledge were 93.8%, 100% and 97.4% respectively in the observation group, which were significantly higher than those in the control group (all P <0.05). The mortality was 0, The complication rate was 2.7%, which was lower than that of the control group (all P <0.05). The hospitalization time was (12.2 ± 0.7) days and the hospitalization expense was (4 725.0 ± 310.1) yuan, both of which were low In the control group, the differences were statistically significant (P all <0.01). At 6 months after discharge, the quality of life in observation group was significantly better than that in control group, with significant difference (P <0.05). Conclusion CNP integrated holistic nursing can improve the rate of improvement and reduce the mortality rate of patients with ascites of late-blood group, and can shorten the length of hospital stay and save the cost of hospitalization. This model of nursing is suitable for application in clinical nursing of late blood treatment of blood-resistant specialist hospitals.