临床护理路径在冠心病心绞痛中的应用

Application of Clinical Nursing Path in the Treatment of Coronary Heart Disease and Angina Pectoris

目的观察临床护理路径在冠心病心绞痛中的应用。方法采用随机数字表法将2017年1月—2018年1月期间92例四川省攀枝花市中心医院收治的冠心病心绞痛患者分为观察组、对照组,每组46例。对照组患者行常规护理,观察组实施临床护理路径。比较两组患者住院时间、住院费用,护理前、护理3个月后自我效能感(GSES)量表评分,以及两组患者护理3个月后依从性评分、护理质量评分。结果观察组住院时间、住院费用均明显小于对照组(P<0.05);护理3个月后,对照组患者GSES评分无明显变化(P>0.05),观察组患者GSES评分较护理前明显升高,两组差异有统计学意义(P<0.05);观察组患者依从性休息、饮食、用药、锻炼、并发症预防、戒烟酒六个维度评分均高于对照组(P<0.05);观察组护理质量沟通能力、服务态度、服务质量、健康教育各项评分均明显高于对照组(P<0.05)。结论冠心病心绞痛患者的护理工作中实施临床护理路径,可提高患者的自我效能感,增强其治疗依从性,缩短住院时间,改善护理质量与患者满意度。

Objective To observe the application of clinical nursing path in coronary angina pectoris.Methods 92 patients with coronary heart disease with angina pectoris treated in the hospital were divided into observation group(control group,46 cases in each group)by random numerical table method.The patients in the control group underwent routine nursing,and the observation group implemented the clinical nursing path.The length of stay,hospitalization expenses,self-efficacy(GSES)scale scores before and after 3 months of nursing,and compliance scores after 3 months of nursing,and quality of nursing were compared.Results The hospital stay and hospital expenses were significantly less than those in the observation group(P<0.05);after 3 months of nursing,the GSES score in the control group did not change significantly(P>0.05),and the GSES score in the observation group was significantly higher than that before nursing(P<0.05);the patient’s compliance rest,diet,medication and exercise were observed in the observation group.The prevention of complications and the six dimensions of smoking cessation wine were higher than that in the control group(P<0.05).The scores of nursing quality communication,service attitude,quality of service and health education in the observation group were significantly higher than that in the control group(P<0.05).Conclusion The nursing work of patients with coronary heart disease and angina pectoris clinical nursing pathway can improve patients’sense of self-efficacy,enhance their treatment compliance,shorten hospitalization time,and improve nursing quality and patient satisfaction.