急诊救护临床护理路径在哮喘患者中的应用效果

Application Effect of Clinical Nursing Pathway in Emergency Treatment in Patients with Asthma

目的：研究急诊救护临床护理路径在哮喘患者中的应用效果.方法：对2012年1月～2014年1月我院急诊科收治的哮喘患者113例,按照急诊住院号分为对照组（58例）和观察组（55例）,对照组实施常规急诊护理,观察组实施急诊救护临床护理路径,比较两组患者的抢救时间、抢救费用及治疗后24小时内患者的用力呼气流量（PEFR）,25%、50%和75%肺活量最大呼气流速（FRF）以及急诊治疗1周后的生活质量量表评分.结果：观察组患者的平均抢救时间、抢救费用等均低于对照组,治疗后24小时观察组患者用力呼气流量（PEFR）,25%、50%和75%肺活量最大呼气流速（FRF）及1周后生活质量量表各维度得分均优于对照组,差异均有统计学意义（P〈0.05 ）.结论：实施哮喘患者急诊救护临床护理路径能有效地降低患者的抢救时间和花费,使病情尽快获得恢复.

Objective： To investigate the application effects of clinical nursing pathway in emergency treatment in patients with asthma.Methods：A total of 113 patients enrolled in the emergency department of our hospital from January 2012 to January 2014 were divided into control group （58 cases） and observation group （55 cases）.Control group received routine emergency nursing while observation group was given emergency healthcare clinic nursing pathway.The rescue time,rescue expense,patients＇ peak expiratory flow rate （PEFR）,25% vital capacity biggest expiratory flow （FRF）,50% FRF and 75% FRF within 24 hours after rescue,and life quality score 1 weeks later were compared between those two groups.Results：The average rescue time and expense of observation group was significantly lower than those of control group while PEFR,25%FRF,50% FRF and 75% FRF within 24 hours after rescue,and life quality score 1 weeks later of observation group were significantly higher than those of control group （P 〈 0.05）. Conclusion：The implementation of emergency healthcare clinic nursing pathway in patients with asthma can effectively reduce the rescue time and expense of patients and help patients＇ recovery.