摘要
目的总结临床护理路径模式在模拟放射病损伤治疗中的护理效果,更有效地指导护理实践。方法选择2016年1月—2019年11月期间中国人民解放军总医院第五医学中心收治的73例造血干细胞移植患者作为研究对象,随机分为对照组及观察组。对照组36例患者给予常规护理,观察组37例患者给予临床护理路径模式,对比两组患者生活质量和并发症发生情况。结果观察组对护理工作的满意度(91.6%)明显高于对照组(55.5%),差异有统计学意义(P <0.05)。患者躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性评分均较护理前降低,且观察组均低于对照组,差异有统计学意义(P <0.05)。其中,观察组护理后躯体化评分为(2.22±0.92)分,低于对照组(3.55±0.75)分,差异有统计学意义(P <0.05);观察组躯体功能、角色功能、情绪功能、认知功能、社会功能、生活质量评分较对照组高,差异有统计学意义(P <0.05);观察组社会功能评分为(86.75±3.54)分,明显高于对照组(71.33±4.33)分,差异有统计学意义(t=8.51,P <0.05)。结论临床护理路径模式可以提高模拟放射病损伤患者的治疗成功率,对放射性损伤患者的救治有一定的借鉴意义。
Objective To explore the effect of clinical nursing pathway model in the simulated radiation injury,in order to guide nursing practice more effectively. Methods A total of 73 patients with hematopoietic stem cell transplantation admitted to Fifth Medical Center of Chinese PLA General Hospital from January 2016 to November 2019 were selected as the subjects,and randomly divided into control group and observation group. 36 patients in the control group were given routine nursing,and 37 patients in the observation group were nursed with clinical nursing pathway mode. The life quality and the incidence of complications were compared between the two groups. Results The satisfaction of nursing in the observation group(91.6%) was significantly higher than that of the control group(55.5%),with statistically significant differenc(P < 0.05). The scores of patients’ somatization,obsessive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia and psychosis were all lower than those before nursing,and the differences were statistically significant(P < 0.05). The somatization score after being nursed in the observation group was(2.22±0.92) point,lower than that of control group(3.55±0.75) point,and the difference was statistically significant(P < 0.05). The score of body function,role function,emotional function,cognitive function and social function of the observation group was higher than that of the control group,and the difference was statistically significant(P < 0.05). The social function score of the observation group was(86.75±3.54) point,which was significantly higher than that of the control group(71.33±4.33) point,with statistically significant difference(t=8.51,P < 0.05).Conclusion The clinical nursing pathway model could improve the success rate of the treatment of patients with radiation injury,and it had certain reference for the treatment of patients with radiation injury.
作者
朱搏宇
徐伟敬
张志芳
ZHU Bo-yu;XU Wei-jing;ZHANG Zhi-fang(Fifth Medical Center of Chinese PLA General Hospitcd,Beijing 100071,China)
出处
《中国国境卫生检疫杂志》
CAS
2020年第6期432-434,共3页
Chinese Journal of Frontier Health and Quarantine
基金
解放军总医院护理部资助项目(2019YH24)。
关键词
放射性损伤
护理
模拟损伤
造血干细胞移植
Radiation injury
Nursing
Simulated injury
Hematopoietic stem cell transplantation