中医护理临床路径在四肢骨折患者围手术期中的应用

Application of clinical nursing pathway of traditional Chinese medicine on patients with limb fractures during perioperative period

目的探讨中医护理临床路径在四肢骨折患者围手术期中的应用。方法选择2010年1月—2012年12月在某院住院的100例四肢骨折患者，按照随机数字表法分为研究组和对照组，每组各50例。研究组按中医护理临床路径实施临床护理、康复指导以及健康宣教。对照组按常规护理模式进行。比较两组患者对护理满意率、治疗后患者生活质量评分以及住院时间、健康教育时间。结果研究组患者的平均住院时间、健康教育时间分别为（7．2±1．1）d，（11．5±4．1）h，低于对照组的（9．1±1．8）d，（23．1±3．5）h，差异有统计学意义（t分别为6．23，7．51；P〈0．05）；研究组患者及家属的满意度、健康教育知识掌握情况、生活质量评分分别为（98．2±4．1），（92．3±4．5），（165．9±20．3）分，明显优于对照组的（90．7±3．9），（76．2±3．3），（102．7±21．6）分，差异有统计学意义（t分别为7．22，12．51，9．03；P〈0．05）。结论实施中医护理临床路径管理，令患者医疗成本降低，护理质量提高，患者的生活质量明显改善。

Obective To discuss the application of clinical nursing pathway of traditional Chinese medicine on patients with limb fractures during perioperative period. Methods One hundred hospitalized patients with limb fractures from January 2010 to December 2012 were selected and randomly divided into the study group and the control group, each with 50 patients. The study group was given clinical nursing pathway, health guidance and health education of traditional Chinese medicine, while the control group received the conventional nursing. The satisfaction rates on nursing, rating scales on post-treatment quality of life, hospital stays and the health education time were compared between two groups. Results The average days in hospital and the time of health education were （7.2 ± 1.1 ） d, （ 11.5±4.1 ） h in the study group and （ 9.1 ± 1.8 ） d, （ 23.1 ±3.5 ） h in the control group, with statistically significant differences （ t = 6.23,7.51, respectively ; P 〈 0.05）. The satisfaction rate of patients and families, the grasp of health knowledge and the rating of life quality was respectively （98.2 ± 4.1 ）, （92.3 ±4.5 ）, （165.9 ± 20.3） in the study group, better than （90.7 ± 3.9）, （76.2 ±3.3 ）, （ 102.7 ± 21.6） in the control group, and the differences were statistically significant （ t = 7.22, 12.51,9.03, respectively; P 〈 0.05）. Conclusions The application of clinical nursing pathway of traditionalChinese medicine can reduce patient＇ s medical cost, improve nursing quality and patient＇ s quality of life.