临床护理路径在门诊痛风患者护理干预中的应用效果

Effects of Clinical Nursing Path on Nursing Interventions among Outpatients with Gout

目的探讨临床护理路径(clinic nursing path,CNP)在门诊痛风患者护理干预中的应用效果。方法 2010年1-12月,便利抽样法选取在佛山市顺德区桂洲医院治疗的痛风患者160例为研究对象,按其就诊先后将其分为路径组与非路径组,路径组应用CNP的方法进行干预,非路径组采用一般的门诊护理干预。比较两组患者分组时及干预1.5年时痛风相关知识知晓率、认知行为、临床症状及生理指标、并发症、门诊就诊次数、医疗费用及患者对护士工作的满意度等。结果干预1.5年时,两组患者在痛风相关知识知晓率、认知行为、临床症状及生理指标改善情况、并发症发生率、门诊就诊次数、医疗费用和患者对护理工作满意度等方面的差异均有统计学意义(均P<0.01)。结论应用临床护理路径对门诊痛风患者进行护理干预,能提高门诊痛风患者自我管理能力,降低医疗费用,提高门诊护士对新知识的实践能力。

Objective To explore the effect of clinical nursing path（CNP） for the nursing interventions on outpatients with gout. Methods By convenience sampling, a total of 160 patients were recruited and divided into two groups （CNP and non-CNP）. The CNP group received interventions according to the clinical nursing path,while the non-CNP group received common nursing interventions. Knowledge about gout,cognitive behavior,clinical manifestation,physical signs,complications,times for admission,medical cost,and satisfaction for nursing of the two groups was compared when grouping and 1.5 years after intervention. Results Compared to non-CNP group, patients of the CNP group mastered more relevant knowledge of gout （P〈0.01）. Clinical symptoms and physical signs of the CNP group improved significantly, with lower incidence of complica- tions and less medical intervention and cost（P〈0.01）. Satisfaction degree was higher in the CNP group than that in the non-CNP group （P〈0.01）.Conclusion The application of CNP for the nursing interventions on outpatients with gout were efficient in improving self-management of gout patients and practical ability of the clinic nurses, decreasing medical cost. This can provide a basis for the further practice in outpatient nurse of the CNP.