心理护理临床路径在冠状动脉旁路移植术病人中的应用

目的探讨心理护理临床路径在冠状动脉旁路移植术病人中的应用效果。方法选择2007年1月-2010年4月本院40例冠状动脉旁路移植术病人,随机分为路径组和对照组,每组各20例。对照组采用常规护理,路径组采用冠状动脉旁路移植术心理护理临床路径对病人实施护理,比较两组病人术前及出院日焦虑及抑郁程度、住院费用、住院时间及病人满意度。结果路径组病人出院日焦虑及抑郁程度、住院费用低于对照组,住院时间短于对照组,病人满意度高于对照组(均P<0.05)。结论采用合理的心理护理临床路径方案,加强冠状动脉旁路移植手术病人心理护理,能改善病人的心理健康状态,降低住院费用,缩短住院时间,从而提高病人的满意度。

Objective To explore the applying efficiency of psychological care clinical nursing pathway in coronary artery bypass graft（CABG）.Methods Forty patients undergoing CABG in our hospital during January 2007 to April 2010 were randomly divided into the pathway group and the control group.Each group had 20 patients.The routine nursing care was given in the control group,while psychological care clinical nursing pathway was given in the pathway group.The medical expenses and time for hospitalization and the degree of patients＇ satisfaction were compared between the two groups.Results The medical expenses and time for hospitalization in the pathway group were lower than thoes in the control group,and the degree of patients satisfaction of the pathway group was higher than that in the control group（all P 0.05）.Conclusion The application of rational psychological care clinical nursing pathway,and the enhancement psychological care of CABG patients,can improve mental health status of CABG patients,and lower the medical expenses and time for hospitalization,and enhance the degree of patients＇ satisfaction.