临床护理路径在眼球穿通伤患者围手术期护理中的应用

Application of Clinical Nursing Pathway in Perioperative Care of Patients with Penetrating Eye Injuries

目的:探讨临床护理路径在眼球穿通伤患者围手术期护理中应用的效果。方法:将128例眼球穿通伤患者随机分为观察组和对照组,各64例,对照组按常规健康教育方式进行,即责任护士在患者入院后的1～5 d内完成疾病知识及治疗护理方案的讲解、并发症预防、饮食指导、药物知识、自我护理方法、康复知识等教育;观察组由培训过的责任护士按临床路径表有计划地从入院到出院,根据患者实际情况给予全程、个体化、针对性、恰当的健康宣教并做好记录。观察2组焦虑及抑郁的水平,对健康知识的掌握情况以及对护理的满意度。结果:与对照组相比,观察组焦虑和抑郁状况减轻,患者对健康知识的掌握程度以及护理满意度明显提高。结论:全程、个体化、针对性、恰当地对患者进行宣教,提高了患者对疾病的认识,通过信息的交流与沟通,消除或减轻患者的焦虑、恐惧心理,增强了患者的安全感及对医护人员的信任感,促进了护患关系,提高了教育效果及对医护人员的满意度,因而提高了医疗护理质量。

Objective： To explore the effect of clinical nursing pathway in penetrating eye injury patients in perioperative care.Methods： One hundred and twenty-eight patients with penetrating eye injuries were randomly divided into observed group and control group,each with 64 cases.Patients in the control group werer cared with conventional health education mode,which means that the staff nurse completed the education of the complete knowledge of disease,treatment and care,as well as of the prevention of complications,dietary guidance,knowledge of drugs,methods of self-care,and rehabilitation in a 1-5 days after admission.In the observed group,patients would be cared under clinical pathway plan,nurses would give whole,individualized,targeted,appropriate health education and make a record according to the actual individual situation.The levels of anxiety and depression,the knowledges of the disease and the satisfactory degrees of patients were observed in two groups.Results： Compared with the control group,the anxiety and depression degrees in the observed group were significantly lightened,and the health knowledge and care satisfactory degree were obviously improved.Conclusion： The clinical pathway with whole,individual,targeted and appropriate education for patients could improve patients＇ understanding of the disease through communication,and could eliminate or reduce patients＇ anxiety and fear,as well as enhance the patients＇ sense of security and trust.The application of clinical care pathway could improve the quality of medical care in promoting the nurse-patient relationship and satisfaction with professional health care.