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目的分析临床护理路径在ICU重症脑梗死中的应用效果。方法选取医院ICU室收治的危重脑梗死患者100例为研究对象,随机分为观察组和对照组,每组50例。对照组采用常规护理方法,观察组采用临床护理路径护理方法。观察2组患者护理后的各项指标进行统计分析,分析指标包括FAM积分评定(运动功能)、Barthel指数(生活能力)、护理满意度、并发症总发生率、住院时间、住院费用等。结果观察组护理总满意度为94.00%,高于对照组的78.00%(P<0.05);观察组并发症总发生率为12.00%,低于对照组的34.00%(P<0.01);观察组住院时间为(12.2±1.4)d、住院费用为(63.26.2±443.2)元,均低于对照组的(14.8±2.5)d、(6 988.4±746.5)元(P<0.01);观察组的健康知识掌握评分为(82.3±9.2)分,高于对照组的(63.5±8.7)分(P<0.01);护理前2组患者FAM评分、Barthel评分比较差异无统计学意义(P>0.05),护理后观察组FAM评分、Barthel评分均优于对照组(P<0.01)。结论对ICU重症脑梗死采用临床护理路径护理方法对脑梗死患者康复具有明显积极效果,具有临床推广意义。
Objective To analyze the clinical effect of clinical nursing in ICU patients with severe cerebral infarction. Methods 100 cases of critically ill patients with cerebral infarction admitted to the ICU of the hospital were selected as study subjects and randomly divided into observation group and control group with 50 cases in each group. The control group using conventional nursing methods, the observation group using clinical nursing path nursing methods. The indexes of nursing care after 2 groups were observed and statistically analyzed. The indexes included FAM score (motor function), Barthel index (life expectancy), nursing satisfaction, total complication rate, hospitalization time and hospitalization expenses. Results The total satisfaction rate in the observation group was 94.00%, higher than 78.00% in the control group (P <0.05). The total complication rate in the observation group was 12.00%, which was lower than 34.00% in the control group (P <0.01) The hospitalization time was (12.2 ± 1.4) days and hospitalization expense was (63.26 ± 443.2) yuan, both lower than the control group (14.8 ± 2.5) days and (6 988.4 ± 746.5) yuan (P <0.01) (82.3 ± 9.2), higher than the control group (63.5 ± 8.7) (P <0.01). There was no significant difference in FAM score and Barthel score between the two groups before nursing (P> 0.05) ). After treatment, FAM score and Barthel score in the observation group were better than those in the control group (P <0.01). Conclusion The method of clinical nursing pathway nursing for ICU patients with severe cerebral infarction has significant positive effect on the rehabilitation of patients with cerebral infarction, which has clinical significance.