临床护理路径在慢性肾衰患者护理中的应用价值分析

Application value analysis on clinical care pathway in nursing care for chronic renal failure patients

目的探讨临床护理路径在慢性肾衰患者护理中的应用价值。方法选取2009年1月一2011年1月我院收治的160例慢性肾功能衰竭患者，随机分为实验组和对照组，其中实验组采用临床护理路径干预，对照组采用常规护理措施。护理前后测定患者的尿素氮（BUN）及血肌酐（SCr）变化，护理后评价两组患者健康知识掌握率、基础护理合格率及满意度。结果两组患者护理前后的BUN、SCr差异均有显著性（P〈0．05），护理后两组患者的BUN、SCr明显降低；护理后两组患者BUN、SCr差异均有显著性（P〈0．05），实验组患者的BUN、SCr均显著较低；实验组患者的健康知识掌握率、基础护理合格率、满意度分别为95．00％、91．25％、98．75％，对照组分别为76．25％、82．50％、85．00％，实验组患者的护理质量明显较佳（P〈0．05）。结论在慢性肾衰患者护理中应用临床护理路径，可有效降低患者血液中BUN、SCr水平，提高护理质量，值得在临床上推广应用。

Objective To explore the application value of clinical care pathway in nursing for chronic renal failure patients. Methods 160 patients of chronic renal failure from Jan 2009 to Jan 2011 were divided into 2 groups. The experiment group used clinical nursing pathway while the control one used common nursing. We observed the BUN, SCr, health knowledge master rate, basis nursing percent of pass and degree of satisfaction and evaluated them. Results The BUN and SCr of 2 groups after nursing were lower （P〈 0.05）. The BUN and SCr of the experiment group after nursing was obvious lower （P 〈 0.05）. The health knowledge master rate, basis nursing percent of pass and degree of satisfaction of the experiment group were 95.00%, 91.25% and 98.75% respectively, while the control group were 76.25%, 82.50% and 85.00% respectively. The nursing quality of experiment group was higher （P 〈 0.05）.Conclusion The clinical nursing pathway in nursing for chronic renal failure can decrease BUN and SCr and increase nursing quality, worth using widely.