临床护理路径在耐药肺结核患者中的护理应用研究

NURSING RESEARCH ON CLINICAL NURSING PATHWAY IN PATIENTS WITH MULTIDRUG RESISTANCE PULMONARY TUBERCULOSIS

目的探讨临床护理路径在耐药肺结核患者中的护理效果。方法选取该院2011年2月—2015年3月收治的130例耐药肺结核患者作为研究对象,按随机数字表将其分为观察组(临床护理路径)和对照组(常规护理),比较二组患者健康知识水平和服药依从性改善情况、护理满意度、住院费用及住院时间。结果入院时二组患者健康知识水平和服药依从性比较差异无统计学意义(P>0.05),干预后均明显改善,出院时与入院时比较差异有统计学意义(P<0.05)。其中出院时观察组健康知识水平和服药依从性均较对照组高,差异有统计学意义(P<0.05)。观察组患者在配合度、心理舒适度及疼痛等方面满意度均优于对照组,平均护理满意度高于对照组,差异均有统计学意义(P<0.05)。观察组住院时间较对照组短,住院费用低于对照组,差异均有统计学意义(P<0.05)。结论临床护理路径可显著改善耐药肺结核患者健康知识水平和服药依从性,护理满意度较高,对促进患者快速康复有重要价值。

Objective To evaluate the application effects of clinical nursing pathway in patients with multidrug resistance pulmonary tuberculosis.Methods Totally 130 cases of patients with multidrug resistance pulmonary tuberculosis from February2011 to March2015in author＇s hospital were chosen as research subjects,and were divided into the control group（routine nursing）and the research group（clinical nursing pathway）by random number table.The improvement of health knowledge level and medication compliance,nursing satisfaction,hospitalization time and expenses between the two groups were compared.Results Health knowledge level and medication compliance between the two groups on admission had no significant difference（P〉0.05）,but all were greatly increased after intervention,and there was a statistical difference compared with before（P〈0.05）.Health knowledge level and medication compliance of research group were higher than that of control group when discharge;Satisfaction in fit,psychological comfort and pain of research group were better than that of control group,and average satisfaction was also higher than control group;Hospitalization time and expenses of research group were all lower than control group,the differences above were of statistically significance（P〈0.05）.Conclusion Clinical nursing pathway can greatly improve the health knowledge level and medication compliance of patients with multidrug resistance pulmonary tuberculosis,and with high nursing satisfaction,has important value in promoting recovery.