临床护理路径在老年哮喘患者护理中的应用效果

Application effect of clinical nursing pathway in nursing of elderly patients with asthma

目的探讨临床护理路径在老年哮喘患者护理中的应用效果。方法选取2017年4月~2018年12月鞍钢集团公司总医院收治的76例老年哮喘患者为研究对象,按照随机双盲法将其分为研究组(38例)与对照组(38例)。对照组采取常规护理,研究组采取临床护理路径干预,比较两组的护理效果。结果研究组的治疗总有效率(94.7%)、护理后疾病知识知晓率(92.1%)、护理总满意度(94.7%)高于对照组(73.7%、71.1%、68.4%);护理后1年疾病的复发率(5.3%)低于对照组(28.9%);住院时间短于对照组,治疗费用少于对照组,差异均有统计学意义(P<0.05);两组护理前的50%最大呼气流量(FRF)、75%FRF、呼气末正压(PEFP)、生活质量评分比较,差异无统计学意义(P>0.05);观察组护理后的50%FRF、75%FRF、PEFP、生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论对老年哮喘患者实施临床护理路径干预有助于提升其疾病认知度和治疗效果,加速病情康复,并能提升生活质量,此护理模式得到患者认可,值得在临床推广应用。

Objective To explore the application effect of clinical nursing pathway in the nursing of elderly asthma patients.Methods From April 2017 to December 2018,76 cases of senile asthma patients treated in Ansteel Group General Hospital,Liaoning Province were selected.They were divided into the study group(38 cases)and the control group(38 cases)using the random double-blind method.The control group was given routine nursing,the study group was given clinical nursing path intervention,the nursing effect of the two groups was compared.Results The total effective rate(94.7%),knowledge awareness rate(92.1%)and nursing total satisfaction(94.7%)in the study group were higher than those in the control group(73.7%,71.1%,68.4%),the recurrence rate(5.3%)1 year after nursing was lower than that of the control group(28.9%),the length of stay was shorter than that of the control group,treatment cost was less than that of the control group,differences were statistically significant(P<0.05).50%maximum expiratory flow(FRF),75%FRF,positive end-expiratory pressure(PEFP)and quality of life scores between the two groups before nursing,the differences were not statistically significant(P>0.05).After nursing,50%FRF,75%FRF,PEFP,quality of life scores in the study group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion Clinical nursing pathway intervention for elderly asthma patients is helpful to improve their disease awareness and treatment effect,accelerate their recovery,and improve their quality of life.This nursing model is recognized by many patients.It is worth popularizing in clinic.