论文部分内容阅读
目的探讨临床护理路径在心肌梗死护理中的应用价值。方法心肌梗死患者76例随机分为传统护理组和临床护理路径组,各38例。传统护理组行传统基础护理;临床护理路径组采取临床护理路径进行护理。比较两组患者满意率、住院时间、住院期间总医疗费用、心肌梗死知识知晓度、遵医行为;医疗纠纷发生率等。结果临床护理路径组患者满意率97.37%高于传统护理组的78.95%,差异有统计学意义(P<0.05);临床护理路径组住院时间(9.18±1.34)d、住院期间总医疗费用(6342±134)元少于传统护理组的住院时间(11.72±2.95)d、总医疗费用(8344±452)元,差异有统计学意义(P<0.05);临床护理路径组心肌梗死知识知晓度(94.73±8.13)、遵医行为(95.44±8.55)高于传统护理组知识知晓度(181.67±7.82)、遵医行为(82.13±7.13),差异有统计学意义(P<0.05);临床护理路径组医疗纠纷发生率0.00%低于传统护理组的15.79%,差异有统计学意义(P<0.05)。结论临床护理路径在心肌梗死护理中,可有效提升患者对自身病情的认知和遵医行为,缩短住院时间,减少医疗费用,提升护理满意度。
Objective To explore the clinical value of clinical nursing pathways in the nursing of myocardial infarction. Methods 76 cases of myocardial infarction were randomly divided into traditional nursing group and clinical nursing path group, each of 38 cases. Traditional nursing group traditional basic nursing; clinical nursing path group take clinical nursing path for nursing. Satisfaction rate, length of hospital stay, total medical expenses during hospitalization, awareness of myocardial infarction knowledge, compliance with medical practices, incidence of medical disputes and so on were compared between the two groups. Results The satisfaction rate of clinical nursing pathway group was 97.37% higher than that of the traditional nursing group (78.95%), the difference was statistically significant (P <0.05); the length of stay in clinical nursing pathway group (9.18 ± 1.34) days and total hospitalization expense ± 134) yuan less than the traditional care group hospital length of stay (11.72 ± 2.95) d, the total cost of medical care (8344 ± 452) yuan, the difference was statistically significant (P <0.05); clinical nursing pathway group knowledge of myocardial infarction awareness 94.73 ± 8.13). The compliance rate (95.44 ± 8.55) was higher than that of the traditional nursing group (181.67 ± 7.82) and compliance behavior (82.13 ± 7.13), with significant difference (P <0.05) The incidence of medical disputes was 0.00% lower than that of the traditional nursing group (15.79%), the difference was statistically significant (P <0.05). Conclusion The path of clinical nursing in myocardial infarction nursing, can effectively enhance patients’ awareness of their own condition and follow the doctor’s behavior, shorten the hospital stay, reduce medical costs and improve nursing satisfaction.