临床护理路径在耐药肺结核患者中的应用效果

Application Effect of Clinical Nursing Pathway in Patients with Multidrug Resistance Pulmonary Tuberculosis

目的探讨临床护理路径在耐药肺结核患者中的应用效果。方法采用随机数字表法将2010年1月至2011年12月在山东省泰安市结核病防治院肺科住院的226例耐药肺结核患者分为观察组和对照组各113例,观察组采用临床护理路径模式进行护理,对照组采用常规护理,比较两组患者出院时抗结核药物的服药依从性、健康教育内容知晓率、护理工作满意度、住院时间及住院费用等。结果观察组的抗结核药物的服药依从性、健康教育内容知晓率及护理工作满意度均明显高于对照组,住院时间及费用明显短于或少于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论在耐药肺结核疾病患者中实施临床护理路径,有利于促进患者康复,值得在临床推广应用。

Objective To explore the application effect of clinical nursing path in patients with multidrug resistance pulmonary tuberculosis. Methods Totally 226 inpatients with a diagnosis of multidrug resistance pulmonary tuberculosis in our hospital from 2010 January to 2011 December were randomly divided into clinical nursing path group and control group, with 113 patients in each group. Clinical nursing path group was given the formulation of the drug resistant pulmonary tuberculosis clinical nursing path model, and the control group was given conventional nursing care plan. Antituberculosis drug compliance when discharge,health education knowledge, satisfaction of nursing work, duration of hospital stay and costs were compared between the two groups. Results Antituberculous drugs medication compliance,health ed- ucation knowledge, satisfaction of nursing work were significantly higher than those in the control group, while the hospitalization time and cost are significantly lower than those in the control group（P〈0.01 or P〈0.05）. Conclusion The implementation of clinical nursing path for patients with multidrug resistance pulmonary tuberculosis can promote the rehabilitation process and call for further clinical application.