临床护理路径在输尿管镜钬激光碎石术中的应用效果

Application effect of clinical nursing pathway in patients undergone ureteroscopic holmium laser lithotripsy

目的探讨临床护理路径在输尿管镜钬激光碎石术中的应用效果。方法将本院2011年1月~2012年6月住院的50例输尿管结石患者随机分为试验组（25例）和对照组（25例）,试验组采用临床护理路径进行干预,对照组采用常规护理措施,比较两组患者的平均住院时间、平均住院费用、患者对健康知识掌握情况及患者的满意度。结果试验组的平均住院时间为（11.4±1.5）d,平均住院费用为（11 353.0±324.4）元,健康知识掌握程度为（92.9±1.5）分,并发症发生率为24%,护理满意度为96%;对照组的平均住院时间为（14.7±2.6）d,平均住院费用为（13 754.0±259.1）元,健康知识掌握程度为（76.2±2.3）分,并发症发生率为60%,护理满意度为88%;两组上述各指标比较,差异有统计学意义（P〈0.05）。结论对输尿管结石患者实施临床护理路径可缩短患者的住院时间、降低住院费用、提升患者对疾病的认知程度、提高临床护理满意度,值得临床应用和推广。

Objective To explore the application effect of clinical nursing pathway in patients undergone ureteroscopic holmium laser lithotripsy. Methods Fifty cases of patients with ureteral calculus admitted into our hospital from January 2011 to June 2012 were evenly divided into experimental group and control group in random.In the experimental group,the clinical nursing pathway as intervention was selected,while in the control group,conventional nursing intervention was adopted.The average hospital stay,mean hospitalization cost,patient＇s mastery of health knowledge,and satisfaction from patients before and after nursing interventions in both groups were observed. Results In experimental group,the average hospital stay was （11.4±1.5） d,mean hospitalization costs were （11 353.0±324.4） yuan,mastery of health knowledge was （92.9±1.5） points,incidence of complication was 24%,clinical nursing satisfaction was 96%;while in the control group,it was （14.7±2.6） d,（13 754.0±259.1） yuan,（76.2±2.3） points,60%,88%,respectively;the two groups had significant differences about those indexes （P〈0.05）. Conclusion For patients with ureteral calculus,implementation of clinical nursing pathway can shorten hospital stay,reduce cost,improve patient＇s cognitive degree for disease,increase their satisfaction on clinical nursing,which is worthy of application and expansion in clinic.