临床护理路径模式对急危重症患儿的应用效果评价

Clinical nursing pathway model for critically ill children

目的探讨临床护理路径模式对急危重症患儿的应用效果和评价。方法选取我院60例重症病患儿（手足口病并病毒性脑炎40例、重症肺炎12例、重型腹泻8例），随机分为30例观察组和30例对照组。观察组按照临床护理路径模式对患儿进行临床护理，对照组按照一般常规护理模式实施护理。结果观察组患儿的平均住院时间（10．7±2．3）d明显短于对照组的（15．5±2．6）d；且健康知识掌握程度方面观察组28例较为丰富，对照组为18例，两组差异明显（P〈0．05），具有统计学意义。结论对急危重症患儿实施临床护理路径模式，能够显著缩短住院时间，使护理质量与患儿家属满意率也明显提高。

Objective To evaluate the effect of clinical nursing pathway model for critically ill children. Methods 60 critically ill children, including 40 cases with hand-foot-mouth desease and viral encephalitis, 12 cases with severe pneumonia, and 8 cases with severe diarrhea, were selected and then were randomly divided an observation group and a control group, 30 for each group. The observation group were nursed according to the clinical nursing pathway, while the control group were nursed in term of routine nursing mode. Results The average hospital stay was markedly shorter in the observation group than in the control group[ （10.7±2.3） d vs. （15.5±2.6） d]. 28 cases in the observation group and 18 cases in the control group had good command of health knowledge, with a statistical difference （P〈0.05）. Conclusion Clinical nursing pathway for acute and critically ill children can significantly shorten hospital stay, improve nursing quality, and significantly increase patients＇ satisfaction rate.