临床护理路径在急性心肌梗死患者中的应用效果

Application effect of clinical nursing pathway in patients with acute myocardial infarction

目的:总结临床护理路径(CNP)在急性心肌梗死(AMI)患者护理中的应用价值。方法:研究样本量100例,所有样本均经便利抽样法处理后分为对照组与观察组,每组50例,对照组采用常规护理,观察组在对照基础上在工作中开展CNP,并于出院前分别采用HAMA量表对两组的焦虑情况进行评估,同时对比观察两组的住院时间、并发症以及心理状况。结果:1住院时间:对照组的平均住院时间为(13.75±7.75)d,观察组的平均住院时间为(7.88±1.86)d,对照组明显高于观察组,差异具有统计学意义(P<0.05)。2并发症:观察组并发症发生率为14%;对照组并发症发生率为26%,对照组明显高于观察组,差异具有统计学意义(P<0.05)。3护理后,观察组的HAMA评分为(11.29±3.52)分,对照组的HAMA评分为(16.19±5.33)分,观察组明显低于对照组(P<0.05)。结论:CNP能够有效改善患者心理状况,减少并发症发生率,缩短住院时间,提高护理质量。

Objective：To investigate the dltterence ot the ellect ot clinical nursang pamway in nursing care oi patients with acute myocardial infarction and to provide ideas for future nursing work.Methods： 100 cases of patients with acute myocardial infarction in hospital,using parallel sampling method will be divided into control group and observation group of the 50 cases, the observation group on the basis of routine nursing in clinical nursing path, hospitalization time were compared between the two groups, the incidence of complications, changes of nursing satisfaction and patients＇ psychological status.Results：①the average hospitalization time for the control group was significantly higher than the observation group, with statistical significance （ P〈 0.05 ） .②the observation group complication rate was 14%; which was significantly higher than that of the observation group, with statistical significance（ P〈 0.05 ）.③nursing, the observation group of the Hamilton Anxiety Scale （HAMA） score （11.29 ± 3.52）, the observation group was significantly lower than that of the control group （ P〈 0.05 ） .Conclusion：the clinical nursing pathway can effectively improve the anxiety emotion and reduce complications, shorten hospitalization time and improve the quality of nursing.