临床护理路径在急性闭角性青光眼患者围手术期护理中的应用

Clinical nursing path in acute angle closure glaucoma patients during operation period nursing application

目的:观察对急性闭角性青光眼手术患者在围手术期实施临床护理路径管理的效果。方法:将患者随机分成实验组和对照组各20例。对照组采用传统的常规护理,实验组患者实施临床护理路径,记录住院天数、住院费用,问卷调查护理质量满意度及疾病相关知识的掌握情况。结果:实验组患者的平均住院天数、平均住院费用低于对照组(P<0.05),满意度较对照组显著提高(P<0.01),疾病相关知识的掌握情况较对照组明显提高(P<0.05)。结论:临床护理路径应用于急性闭角性青光眼进行小梁切除+虹膜周切术的患者中,可缩短住院天数,降低医疗费用,提高患者护理质量满意度和加强对疾病相关知识的掌握。

Objective The observation of acute angle-closure glaucoma patients in the perioperative period to implement the effect of the clinical care path management. Method Patients randomly divided into experimental and control groups of 20 cases Control group using the traditional routine care,the experimental group for patients with a clinical care path,record the length of stay,hospital costs,the questionnaire survey the satisfaction of the quality of care and disease-related knowledge to grasp the situation. Result Experimental group patients with the average length of stay and average cost of hospitalization less than the control group （P〈0.05）but satisfaction significantly increased（P〈0.01）,significantly improved disease-related knowledge to grasp the situation compared with the control group （P〈0.05）. Conclusion Clinical care path used in the acute angle closure glaucoma patients with trabeculectomy＋the iris around the resection can shorten the hospital stay,lower medical costs,improve the quality of patient care satisfaction and enhance the mastery of the knowledge of the disease.