脑卒中后失眠中医护理临床路径初探

目的探讨中医护理临床路径在脑卒中后失眠患者中的应用效果。方法将78例脑卒中后失眠患者随机分为观察组和对照组，对照组给予神经内科常规护理，观察组采用神经内科医生护士共同制定的脑卒中后失眠中医护理临床路径，出院时比较两纽患者的疗效、住院时间、住院费用和护理满意度。结果观察组患者总有效率和总满意率高于对照组，住院时间和住院费用少于对照组，差异有统计学意义（P〈0．05）。结论脑卒中失眠患者采用中医护理临床路径可有效提高患者的治疗效果和护理满意度，减少住院时间和住院费用。

Objective Study the effectiveness of clinical care pathway of traditional Chinese medicine （ TCM ） in patients with post-stroke insomnia. Methods 78 patients with post-stroke insomnia were divided into test group and control group randomly, the control group was given routine nursing, while the test group was given clinical care pathway ofTCM for post-stroke insomnia, which approach was working out by neurologist and nurse. The effectiveness, length of hospital stay, hospital costs and nursing satisfaction were compared between two groups at discharge. Results The total effective rate and total satisfaction rate of the test group were significant higher than that of the control group, and the length of hospital stay and hospital costs were significant less than that of the control group （ P〈0.05 ） . Conclusion The clinical care pathway of TCM can effectively improve the patient outcomes and nursing satisfaction of patients with stroke and reduce the length of hospital stay and hospital costs.