中医临床护理路径在椎动脉型颈椎病患者中的应用

Application of traditional Chinese medicine clinical nursing pathway on cervical spondylosis patients

目的 探讨应用中医临床护理路径于椎动脉型颈椎病患者的效果.方法 选取2008年7月-2010年7月椎动脉型颈椎病患者100例,随机分为对照组50例和观察组50例,两组均以颈椎病常规护理为基础.观察组采用中医临床护理路径护理,充分发挥中医情志和饮食调护,结合中医特色治疗方法和中药内服外敷等措施.比较两组患者住院时间、住院费用、护理不良事件发生率及满意度、颈椎保健知识掌握程度.结果 观察组住院时间[（11.2±1.5）d vs（15.9±2.0）d]、住院费用[（4623.0±298.0）元vs（5606.0±191.0）元]较对照组减少,差异均有显著性（P＜0.05）;观察组护理不良事件亦较对照组明显减少（尸＜0.01）;观察组护理满意度、颈椎保健知识掌握程度较对照组提高（P＜0.05）.结论 应用中医临床护理路径于椎动脉型颈椎病患者可以缩短住院时间,减少住院费用和护理不良事件的发生,提高患者的满意度和知识掌握程度.

Objective To explore the application effects of traditional Chinese medicine （TCM） clinical nursing pathway on cervical spondylosis patients of vertebroarterial. Methods 100 cases of cervical spondylosis from July 2008 to July 2010 were selected and randomly divided into control group and observation group, with 50 cases for each group. Both groups were treated based on cervical spondylosis conventional care. TCM clinical nursing pathway was used in the observation group, TCM sentiment and dietary regulating were also fully used, combined with TCM characteristic treatment measures such as internal and external therapy. The length of hospital stay, hospital charge,nursing adverse events occurrence rate, degree of satisfaction, and the understanding level of cervical health care knowledge were all compared in both groups. Results The length of hospital stay and hospital expenses were less than those in control group （P〈0.05）. The rate of nursing adverse events was also less than that in the control group （P〈0.01）,the degree of satisfaction and understanding level of cervical health care knowledge were higher than those in the control group （P〈0.05）. Conclusion The application of TCM clinical nursing pathway on cervicai spndylosis patients of vertebroarterial can reduce the length of hospital stay, hospital expenses and the rate of nursing adverse events, improve degree of satisfaction and understanding level of cervical health care knowledge.