临床护理路径在蝮蛇咬伤患者中的应用

Application of clinical nursing pathway on patients with agkistrodon halys snake bite

目的探讨临床护理路径在蝮蛇咬伤患者中的应用效果。方法按随机数字表法将65例蝮蛇咬伤患者分为试验组33例和对照组32例。对照组按蛇咬伤护理常规进行护理，试验组应用临床护理路径实施管理。比较两组患者的住院时间、住院费用、局部疼痛视觉模拟评分法（VAS）评分、健康知识掌握情况、住院满意度。结果两组患者人院首日的局部疼痛VAS评分比较，差异无统计学意义（P〉0．05）；第3天的VAS评分试验组为（1．50±1．45）分，优于对照组的（2．43±1．28）分，差异有统计学意义（t=2．749，P〈0．01）；试验组平均住院时间、平均住院费用分别为（5．21±1．71）d，（1376．40±410．48）元，优于对照组的（6．09±1．53）d，（1597．30±376．60）元，差异有统计学意义（t分别为2．192，2．259；P〈0．05）；试验组的健康知识问卷、住院满意度问卷评分分别为（26．88±2．60），（98．97±1．81）分，高于对照组的（22．28±4．57），（94．78±4．11）分，差异有统计学意义（t分别为4．940，5．383；P〈0．01）。结论在蝮蛇咬伤患者的护理中应用临床护理路径，可以促使患者早日康复，缩短住院时间，减少住院费用，提高患者健康知识的掌握程度及住院满意度。

Objective To study the application effect of clinical nursing pathway on patients with agkistrodon halys snake bite. Methods A total of 65 agkistrodon halys snake bite patients were divided into the experimental group （n = 33 ） and the control group （n = 32） by using random number table method. The control group was given the conventional nursing, while the experimental group received clinical nursing pathway. Hospitalization days, expense, VAS score of local pain, grasp of health knowledge and patients＇ satisfaction rate were compared between two groups. Results There was no statistically significant difference of VAS score of local pain on the first day of hospitalization between two groups （P 〉 0.05）. On the third day, the VAS score was （1.50 ± 1.45 ） in the experimental group and （2.43 ± 1.28 ） in the control group, with statistically significant difference （ t = 2. 749, P 〈 0.01 ）. The average hospitalization days and expense were （5.21 ± 1.71 ） d and （ 1 376.40 ± 410.48） yuan in the experimental group, better than （ 6.09 ± 1.53 ） d and （ 1 597.30 ± 376.60 ） yuan in the control group, with statistically significant differences （ t = 2. 192,2. 259, respectively ; P 〈 0.05）. The score of health knowledge and satisfaction rate was （26.88 ± 2.60 ）and （98.97 ± 1.81 ）in the experimental group, higher than （ 22.28 ± 4.57 ） and （ 94.78 ± 4.11 ） in the control group, and the differences were statistically significant （ t = 4. 940,5. 383, respectively; P 〈 0. 01 ）. Conehmions Clinical nursing pathway can promote the recovery of patients with agkistrodon halys snake bite, shorten their hospitalization days, reduce their expense, and improve their health knowledge as well as satisfaction rate.