临床护理路径在心脏介入治疗中的应用

Application of clinical nursing path in interventional cardiology

目的：探讨临床护理路径在心脏介入治疗中的应用及对缓解护理工作压力的影响。方法随机选择2013年1—12月在德州市市立医院介入科采取临床护理路径后应用心脏介入治疗的患者为研究组,2012年1—12月采取临床护理路径前应用心脏介入手术治疗的患者为对照组,对开展临床护理路径前后两组患者住院时间、对护理工作的满意度、护理记录书写时间以及护士护理工作压力评分进行对比分析。结果研究组患者平均住院时间为（7.8±1.1）d,短于对照组,差异有统计学意义（t=4.828,P〈0.01）。研究组患者对护理工作满意度评分为（24.6±2.8）分,高于对照组,差异有统计学意义（t=4.739, P〈0.01）。研究组患者住院期间各时间点护理记录书写时间均较对照组缩短,差异均有统计学意义（ t值分别为5.869,5.402,6.537,5.618,4.498,5.724；P〈0.01）。开展心脏介入治疗临床护理路径后,护士工作压力源与护士工作疲倦感得分均优于开展前,差异有统计学意义（ t值分别为4.006,2.641,2.333,2.306,5.623；P〈0.05）。结论对心脏介入治疗患者实施临床护理路径不仅能缩短住院时间,提高患者对护理工作的满意度,而且能有效缩短住院期间各时间点的护理记录书写时间,减轻护士工作压力。

Objective To discuss the effect of clinical nursing path in interventional cardiology, and its impact on relieve of working pressure in nurses. Methods The interventional cardiology patients who used clinical nursing path were selected as the experimental group from January to December in 2013, and patients who used traditional nursing were selected as the control group from January to December in 2012. The length of hospital stay, the satisfaction of nursing job, as well as the writing time of nursing care records and working pressure were compared between the two groups. Results The average length of hospital stay in the experimental group was （7. 8 ± 1. 1） days, which was significantly shorter than that in the control group （ t=4. 828,P〈0. 01）. The satisfaction score of nursing job in the experimental group was （24. 6 ± 2. 8）, which was significantly higher than that in the control group （t=4. 739,P〈0. 01）. The nursing care records writing time of each time point in the experimental group nurses was significantly shorter than those in the control group （ t=5. 869, 5. 402, 6. 537, 5. 618, 4. 498, 5. 724, respectively;P〈0. 01）. Emotional fatigue and apathy for work of nurses were significantly lower than before, and the personal accomplishment score was significantly higher than before, and the differences were statistically significant （ t = 4. 006, 2. 641, 2. 333, 2. 306, 5. 623, respectively;P〈0. 05）. Conclusions Patients with cardiac intervention who used the clinical nursing path cannot only shorten the hospital stay significantly and improve the satisfaction of nursing job, but also can effectively shorten the writing time of the nursing care records, and reduce nurses′working pressure.