临床护理路径在急诊呼吸衰竭患者重症监测中的应用研究

Application of clinical nursing path in the emergency department patients with severe respiratory failure monitoring

目的:分析临床护理路径在急诊呼吸衰竭患者重症监测中的临床价值,为临床运用提供参考依据。方法:选择2013年4月至2014年6月期间收治的82例急诊呼吸衰竭患者,按照随机数字法分为实验组(n=42)和对照组(n=40)。实验组患者按照临床护理路径进行护理,对照组患者则采用常规护理。比较两组患者临床护理价值的差异性。结果:实验组患者的ICU住院时间、住院费用以及呼吸机使用时间均显著低于对照组患者,差异具有统计学意义(P<0.05);实验组患者发生自发性气胸、肺部感染、尿路感染、肾功能不全及应激性溃疡等并发症的发生率和总发生率均显著小于对照组患者,具有统计学意义(P<0.05);实验组患者对健康教育的总体掌握状况以及总体护理满意度均显著高于对照组患者,差异均具有统计学意义(P<0.05)。结论:临床护理路径在急诊呼吸衰竭患者重症监测中的使用,能够显著降低ICU住院时间、住院费用、呼吸机使用时间,并发症的发生率,且提供患者对健康教育的总体掌握状况以及总体护理满意度,值得在临床上推广使用。

Objective： To analyze the clinical value of clinical nursing path in patients with severe respiratory failure in emergency monitoring,and provide reference for clinical use. Methods： April 2013 to June 2014 82 cases of emergency patients with respiratory failure,were randomly divided into experimental and control groups,42 cases and 40 cases respectiuyely. Experimental group patients were treated with clinical nursing care path,the control group patients with conventional care. Comparing the proportion of the value of the two groups of patients in clinical care differences. Results： ICU length of stay of patients in the experimental group,hospital costs and ventilator time were significantly lower than the control group patients（ P〈0. 05）; the experimental group patients with spontaneous pneumothorax,pulmonary infection,urinary tract infections,the incidence of renal dysfunction and stress ulcer complications and overall incidence rate were significantly lower than the control group patients,with statistical significance（ P〈0. 05）; the experimental group were overall grasp of the situation of health education and overall satisfaction with care were significantly higher in the patients,all with significant differences（ P〈0. 05）. Conclusion： The use of clinical nursing path in patients with severe respiratory failure in emergency monitoring,can significantly reduce the length of ICU stay,hospital costs and ventilator time,reduce the incidence of complications,and provides patient education overall health status and overall mastery Care Satisfaction,worthy use in clinical practice.