临床护理路径在老年心梗病人中的应用

Application of The Clinical Narsing Pathway for The Elderly Pstients with Myocardial Infarction

目的:建立完善的老年心肌梗塞病人的临床护理路径。方法:采用随机抽样法将病人分成两组,实验组26例,对照组30例。对照组病人采用常规医嘱进行护理,实验组病人采用定好的临床护理路径方法进行护理。观察两组病人的卧床时间、并发症的发生率及护患矛盾有无差异。结果:实验组病人卧床时间、并发症的发生率均比对照组明显减少,护患矛盾与对照组相比显著减少。结论:临床护理路径在老年急性心肌梗塞病人(AMI)中的应用,可缩短病人卧床时间,减少并发症,提高护理质量,改善护患关系,减少护患矛盾。

Objective：To establish a perfect clinical nursing pathway for the elderly patients with myocardial infarction.Methods ：The selected patients were divided into two groups with method of random sampling： the intervention group（n=26） and the control group（n=30）.the control group patients was carried out according to routine care doctor＇s advice,Experimental group of patients using fixed-path methods of good clinical nursing care.Main outcome measures include the patient＇s bed time、The incidence of complications and whether the differences between nurse-patient conflicts.Result：Compared with the control group,the patient＇s bed time and the incidence of complicationsnt significantly reduced in the intervention group;there are a significant reduction in nurse-patient conflicts,too.Conclusion：The clinical nursing pathway for the elderly patients with myocardial infarction can shorten the patient＇s bed time,improve quality of care by reducing complications,improve physician-patient relationship,and reduce nurse-patient conflicts.