探讨临床护理路径应用于脑出血患者的效果

Effect of clinical nursing pathway in cerebral hemorrhage patients

目的通过客观评价临床护理路径应用于脑出血患者的效果,总结提升脑出血患者临床效果的护理方法。方法 31例脑出血患者采用临床护理路径作为A组;同期选择31例脑出血患者采用常规护理作为B组,观察两组患者护理情况。结果护理后,A组患者住院时间为(24.11±1.21)d,少于B组的(37.91±2.04)d,差异有统计学意义(P<0.05);A组患者健康知识认知度为(91.24±4.21)%,高于B组的(64.55±2.15)%,差异有统计学意义(P<0.05)。A组患者满意12例(38.71%),比较满意18例(58.06%),不满意1例(3.23%),满意度为96.77%;B组患者满意11例(35.48%),比较满意13例(41.94%),不满意7例(22.58%),满意度为77.42%;两组满意度差异有统计学意义(P<0.05)。治疗前,A组患者巴塞尔指数为(32.67±14.32),B组巴塞尔指数为(33.68±12.55),比较差异无统计学意义(P>0.05);治疗后,A组患者巴塞尔指数为(79.21±22.35),B组巴塞尔指数为(47.35±19.76),比较差异有统计学意义(P<0.05)。结论脑出血患者应用临床护理路径不仅可以提升治疗效果,缩短住院时间,而且还能够提升患者满意度以及健康知识认知度,临床可推广。

Objective To objectively evaluate effect of clinical nursing pathway in cerebral hemorrhage patients for summarizing nursing method to improve clinical effect in cerebral hemorrhage patients. Methods There were 31 cerebral hemorrhage patients as group A, who received clinical nursing pathway, and another concurrent 31 cerebral hemorrhage patients as group B, who received conventional nursing. Nursing situation was observed in two groups, and all data was compared. Results After nursing, group A had shorter hospital stay time as（24.11±1.21） d than（37.91±2.04） d in group B, and the difference had statistical significance（P〈0.05）. Group A had higher health knowledge cognition degree as（91.24±4.21）% than（64.55±2.15）% in group B, and the difference had statistical significance（P〈0.05）. Group A had 12 satisfactory cases（38.71%）, 18 less satisfactory cases（58.06%） and 1 unsatisfactory case（3.23%）, with satisfactory degree as 96.77%. Group B had 11 satisfactory cases（35.48%）, 13 less satisfactory cases（41.94%）, and 7 unsatisfactory cases（22.58%）, with satisfactory degree as 77.42%. There was statistically significant difference in satisfactory degree between two groups（P〈0.05）. Before treatment, group A had Barthel index as（32.67±14.32）, which was（33.68±12.55）in group B, and the difference had no statistical significance（P〉0.05）. After treatment, group A had Barthel index as（79.21±22.35）, which was（47.35±19.76） in group B, and the difference had statistical significance（P〈0.05）. Conclusion For cerebral hemorrhage patients, application of clinical nursing pathway not only can improve treatment effect and shorten hospital stay time, but also can increase satisfactory degree and health knowledge cognition degree. So this method is worthy of promotion.