临床护理路径在颅脑损伤患者急救阶段的应用

Application of Clinical Nursing Pathway in First Aid Stage of Patients with Craniocerebral Injury

目的:探讨临床护理路径方法在颅脑损伤患者急救阶段应用的意义。方法:选取2015年1月-2016年5月笔者所在医院收治的符合纳入标准的80例颅脑损伤患者,随机分为试验组(n=40)与对照组(n=40)。对照组采取传统急救护理;试验组患者采取临床路径护理进行干预。对两组急救后的病死率、预后结果、抢救所用时间和护理满意度进行比校分析。结果:试验组生活自理率(82.5%)、死亡率(5.0%)均显著优于对照组,差异均有统计学意义(P<0.05),两组植物生存率比较差异无统计学意义(P>0.05)。试验组抢救时间为(21.20±8.75)min,显著少于对照组的(35.75±12.14)min,差异有统计学意义(P<0.05)。试验组患者满意率为97.5%,显著高于对照组(77.5%),差异有统计学意义(P<0.05)。结论:对颅脑损伤患者在急救阶段实施临床护理路径,可以更好地规范急救护理流程,明显提高患者的预后效果及护理满意度,值得在临床护理中借鉴及应用。

Objective:To explore the significance of clinical nursing pathways in the first aid phase of patients with craniocerebral injury.Method:Eighty patients with craniocerebral injury who were enrolled in the author's hospital from January 2015 to May 2016 were randomly divided into experimental group(n=40) and control group(n=40).The control group was given traditional emergency care,and the experimental group was given clinical pathways to intervene.The two groups of first aid after the mortality,prognosis,rescue time and nursing satisfaction were analyzed.Result:The life self-care rate(82.5%),death rate(5.0%) of experimental group were significantly better than the control group,the differences were statistically significant(P<0.05). The plant survival rate(5.0%) in the experimental group was not significantly different from that in the control group, but was lower than that in the control group.The rescue time of the experimental group was(21.20±8.75) min,significantly less than(35.75±12.14) min of the control group,the difference was statistically significant(P<0.05).The satisfaction rate of patients in the experimental group was 97.5%,significantly higher than 77.5% of the control group,the difference was statistically significant(P<0.05).Conclusion:The clinical nursing path of the patients with craniocerebral injury in the first aid stage can better regulate the emergency nursing process,improve the prognosis and nursing satisfaction of the patients,and be worthy of reference and application in clinical nursing.