临床护理路径在慢性阻塞性肺疾病患者急性加重期的应用效果分析

The Application Effect Analysis of Clinical Nursing Approach on Patients with Chronic Obstructive Pulmonary Disease during Acute Exacerbation Period

目的:研究和探讨临床护理路径在慢性阻塞性肺疾病患者急性加重期的应用效果。方法:选取2013年1月-2014年12月本院呼吸内科住院的100例慢性阻塞性肺疾病急性加重期患者为研究对象,按护理方法不同分为观察组与对照组,每组各50例患者。观察组行临床护理路径护理,对照组行常规护理路径护理,比较两组患者的临床护理效果及护理满意度。结果:观察组护理后的住院时间显著低于对照组,疾病相关知识考核成绩显著高于对照组,两组比较差异均有统计学意义(P<0.05);观察组患者护理后的护理总有效率为98.0%,护理总满意度为96.0%,对照组患者护理后的护理总有效率为84.0%,护理总满意度为78.0%,观察组患者护理后的护理总有效率、护理总满意度均显著高于对照组,两组比较差异均有统计学意义(P<0.05)。结论:对慢性阻塞性肺疾病急性加重期患者实施临床护理路径,可缩短住院时间,提高护理有效率及护理满意度、疾病相关知识考核成绩,最大限度的改善预后,缓解临床各项症状,有利于患者更好的康复,在临床上具有较高的应用价值。

Objective： To investigate and explore the application efficacy of clinical nursing approach on patients with chronic obstructive pulmonary disease during acute exacerbation period. Method： 100 patients with chronic obstructive pulmonary disease during acute exacerbation period in the department respiration medicine of the hospital were selected from January 2013 to December 2014 as research subjects, according to different nursing methods they were divided into the observation group and control group, 50 patients in each group.The observation group was treated clinical nursing approach, control group was treated conventional nursing approach, the effect of clinical nursing and nursing satisfaction of two groups were compared.Result： The hospital stay duration of patients in the observation group after nursing was significantly lower than that of patients in the control group and exam results of patients on disease related knowledge of observation group were significantly higher than that of patients in the control group, the differences were statistically significant （ P〈0.05 ） .In the observation group, the total effective rate after nursing was 98.0%, the total satisfaction of nursing care was 96.0%; in the control group, the total effective rate after nursing was 84.0%, and the total satisfaction of nursing was 78.0%.The total effective rate and total satisfaction of nursing on patients in the observation group after nursing were significantly higher than those of the control group, the differences were statistically significant （P〈0.05） .Conclusion： The application of clinical nursing approach on patients with chronic obstructive pulmonary disease during acute exacerbation period can shorten the hospital stay, improve the nursing efficiency, satisfaction and exam results of diseases related knowledge, improve the prognosis at maximum degree, relieve clinical symptoms, being beneficial to better recovery of patients and delivering higher application value in clinic practices.