临床路径联合集束化护理在急性重度有机磷农药中毒中的应用研究

Effect analysis on the application of combined the clinical nursing path and cluster based care to acute severe organophosphorus pesticide poisoning

目的:探讨临床路径联合集束化护理在急性重度有机磷农药中毒中的应用。方法:将急性重度有机磷农药中毒患者分为实验组(48例)和对照组(48例),实验组采用临床路径联合集束化护理,而对照组采用传统护理。统计两组的清洁肠道时间、阿托品化时间、胆碱酯酶活力恢复时间、住院时间、应用呼吸机时间、中间综合征例数,迟发性多发性神经病例数、呼吸机肺炎例数、死亡例数、住院费用和患者、患者家属、护理人员、医生的满意度。利用χ2检验、t检验和秩和检验分析相关数据。结果:与对照组相比,实验组患者的胆碱酯酶活力恢复时间、住院时间和使用呼吸机时间明显缩短;中间综合征例数,呼吸机肺炎例数和住院费用明显减少;患者家属和医生的满意度明显提高,差异均有显著意义(P<0.05)。结论:临床路径联合集束化护理在急性重度有机磷农药中毒治疗中有明显优势,值得推广。

Objective：To investigate the application of combined the clinical nursing path and cluster based care to acute severe organophosphorus pesticide poisoning. Method：Acute severe organophosphorus pesticide poisoning patients were divided into the experimental group （48 cases） and control group （48 cases）, the experimental groups were used combined the clinical nursing path and cluster based care, while control group only used routine nursing. The time of cleaning the intestines, atropinization, cholinesterase activity recovery, length of stay, application breathing machine, and number of intermediate syndrome delayed polyneuropathy, the cases of ventilator associated pneumonia, death cases, the cost of hospitalization and the degree of satisfaction to patient, patients ＂ families, nursing staff,doctor in two groups were be statisticsed. The data analysis were used ehi-square test,t-test and rank sum test. Result： The effectiveness of experimental group was significantly better than control group on the time of cholinesterase activity recovery,length of stay, time of ventilator using, number of intermediate syndrome cases, numher of ventilator-associated pneumonia, cost of hospitalization, degree of satisfaction to Patients＂ families, doctor, differences have statistical significance （P〈0. 05）. Conclusion： It showes clear advantage that model of combined the clinical nursing path and cluster based care to therapy for acute severe organophosphorus pesticide poisoning. It is worth to generalization.