期刊文献+

慢性肾衰竭患者实施护理路径的临床效果探讨 被引量:15

Effect of clinical nursing path on treatment of paitents with chronic renal failure
下载PDF
导出
摘要 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160例慢性肾衰竭患者随机分为实验组和对照组,实验组采用临床护理路径干预,对照组采用常规护理措施,测定护理前后患者的尿素氮(BUN)及血肌酐(SCr)变化,护理后评价2组患者健康知识掌握率、基础护理合格率及满意度。结果 2组患者护理后的BUN、SCr均较其护理前显著降低,差异具有统计学意义(P<0.05);护理后,实验组患者BUN、SCr显著低于对照组,差异具有统计学意义(P<0.05)。结论在慢性肾衰患者的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 value of clinical nursing path in the treatment of patients with chronic renal failure.Methods 160 patients with chronic renal failure were selected and randomly divided into experimental group and control group.The experimental group was conducted with clinical nursing path,while the control group was conducted with conventional nursing measures.Levels of urea nitrogen(BUN) and serum creatinine(SCr) before and after treatment were determined in two groups,and mastery degree of health knowledge,qualified rate of basic nursing and satisfactory degree were evaluated after implementation of nursing between two groups.Results After implementation of nursing,the levels of BUN and SCr decreased significantly in both groups(P〈0.05),and the levels of BUN and SCr in the experimental group were significantly lower than that in the control group(P〈0.05).Conclusion Application of clinical nursing path in the treatment of patients with chronic renal failure can effectively reduce the levels of BUN and SCr in the blood of patients and improve nursing quality,so it is worthy of clinical application and popularization.
作者 马志英
出处 《实用临床医药杂志》 CAS 2013年第10期41-42,共2页 Journal of Clinical Medicine in Practice
关键词 临床护理路径 慢性肾衰竭 疗效 clinical nursing path chronic renal failure efficacy
  • 相关文献

参考文献4

二级参考文献39

  • 1王雅菁,田立华.普外科急腹症病人健康教育无效原因分析及对策[J].现代护理,2006,12(5):484-485. 被引量:36
  • 2叶任高.慢性肾衰竭.见:叶任高,陆在英,主编.内科学.第6版.北京:人民卫生出版社,2005.542.
  • 3[2]Hofmann PA.Critical path method:An important tool for coordinating clinical care. Journal on Quality Improvement, 1993,19(7):235-246.
  • 4[3]Thomas R,Gadacz MD. General surgical clinical pathways:an introduction.The American Surgeon,1997,63(1):107-110.
  • 5[4]Phei Langchang,Shih Tsunghuang,Ming Lihsieh,et al.Use of the transurethral prostatectomy clinical path to monitor health outcomes.The Journal of Urology,1997 ,157(1):177-183.
  • 6[6]Graybeal KB,Gheen M,Mckenna B,et al.Clinical pathway development:The overlake model.Nursing Management,1993,24(4):42-45.
  • 7[7]Zander K.Managed care and nursing case management in patient care delivery models.Edited by Mayer GG, Maddin MJ,Lawrenz Rockville E,et al . Aspen Publications,1990.38.
  • 8[10]Windle P.Critical pathways:An integrated documentation tool.Nursing Management,1994,25(9):80F-80P.
  • 9[11]Pearson SD,Goulart-Fisher D,Lee TH,et al. Critical pathways as a strategy for improving care:problems and potential.Annals of Internal Medicine,1995,123(12):941-948.
  • 10[12]Anders RL,Tomai JS,Clute RM ,et al.Development of a scientifically valid coordinated care path.Journal of Nursing America,1997,27(5):45-51.

共引文献1120

同被引文献122

  • 1谢虹,徐贵霞,任启芳.早期慢性肾衰竭患者蛋白质营养不良的临床观察与护理[J].蚌埠医学院学报,2005,30(3):267-269. 被引量:2
  • 2Bos-Touwen I, Schuurraans M, Monninkhof EM , et al. Patient and disease characteristics associated with activation for self-management in patients with diabetes,chronic obstructive pulmonary disease ,chronic heart failure and chronic renal disease : a cross-sec-tional survey study[ J]. PLoS One,2015 ,10(5) ;e0126400.
  • 3Dobbels F , Wong S , Min Y. Beneficial effect of belatacept on health-related quality of life and perceived side effects : results from the BENEFIT and BENEFIT - EXT trials[ J]. Transplantation,2014 ,98(9) :960 -968.
  • 4Christie J,Macmillan M,Currie C ,et al. Improving the experience of hip fracture care : A multidisciplinary collaborative approach to implementing evidence-based, person-centred practice [ J]. Int J Orthop Trauma Nurs ,2015 ,19 ( 1) :24 -35.
  • 5Hall RK,Toles M , Massing M,et al. Utilization of acute care among patients with ESRD discharged home from skilled nursing facilities [J] ? Clin J Am Soc Nephrol,2015 ,10(3) :428 -834.
  • 6Gautam NR, Gautam NS, Rao TH,et al. Effect of end-stage renaldisease on oral health in patients undergoing renal dialysis; A cross-sectional study[J] ? J Int Soc Prev Community Dent, 2014 ,4(3): 164-169.
  • 7鲁新红,陆潜,汪涛.慢性肾衰竭病人的饮食现状调查[J].护理研究(上旬版),2008,22(10):2560-2562. 被引量:15
  • 8周勤.慢性肾脏病患者治疗依从性及其影响因素分析[J].现代医药卫生,2009,25(4):501-502. 被引量:15
  • 9吴华.早期发现慢性肾脏病,提高早期防治率[J].北京医学,2009,31(3):169-170. 被引量:7
  • 10郑法雷,李雪梅.早中期慢性肾脏病防治对策:如何逆转或延缓[J].北京医学,2009,31(3):170-172. 被引量:7

引证文献15

二级引证文献176

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部