围术期临床护理路径对心脏瓣膜置换患者住院时间的影响

Influence of perioperative clinical nursing path on length of hospital stays of patients with heart valve replacement

目的探讨围术期临床护理路径对心脏瓣膜置换患者住院时间的影响。方法选择2015年11月—2018年11月于本院行心脏瓣膜置换术的100例患者,随机分为观察组和对照组,各50例。对照组实施常规护理,观察组在对照组基础上实施围术期临床护理路径干预,比较2组患者ICU停留时间、平均住院时间、住院费用及护理满意度。结果观察组ICU停留时间(28.39±5.13)h、平均住院时间(19.11±1.62)d,均短于对照组的(37.15±7.24)h、(23.34±2.36)d,住院费用(58827.34±4621.27)元,低于对照组的(71490.27±5264.37)元,护理满意度较对照组高(94%vs 72%),差异有统计学意义(P<0.01)。结论围术期临床护理路径可缩短心脏瓣膜置换术患者ICU停留时间和住院时间,减少住院费用,提高患者护理满意度。

Objective To explore the effect of perioperative clinical nursing path on the length of hospital stays of patients with heart valve replacement.Methods From November 2015 to November 2018,100 patients who underwent the heart valve replacement in a hospital were randomly divided into a trial group and a control group,with 50 cases in each group.The routine nursing was carried out in the control group,and the perioperative clinical nursing path intervention was carried out in the trial group on the basis of the control group.Results The average stay time of ICU and average hospitalization time in the trial group were(28.39±5.13)h,and(19.11±1.62)d respectively,which were shorter than those in the control group[(37.15±7.24)h,and(23.34±2.36)d respectively];the hospitalization cost was(58827.34±4621.27)yuan in the trial group,which was lower than that in the control group[(71490.27±5264.37)yuan];the nursing satisfaction in the trial group was higher than that in the control group(94%vs 72%,P<0.01).Conclusion The perioperative clinical nursingpathway can shorten ICU stay time and hospitalization time,reduce hospitalization cost,and improve patients’nursing satisfaction.