临床护理路径应用于强直性脊柱炎护理工作中的临床价值分析

Analysis of Clinical Value of Clinical Nursing Pathway Applied in Nursing Work of Ankylosing Spondylitis

目的讨论强直性脊柱炎患者在临床护理中,应用临床护理路径的临床价值。方法选取该院2018年1月—2019年8月收治的60例强直性脊柱炎患者,采用随机的方式分为观察组与对照组,每组30例。对照组应用常规护理方式,观察组应用临床护理路径,比较两种护理方式患者的疼痛评分、晨僵时间及枕墙距,同时,对其SCL-90评分、护理满意度及疾病相关知识掌握程度进行对比。结果观察组疼痛评分低于对照组,差异有统计学意义(t=13.562,P<0.001),观察组晨僵时间短于对照组,差异有统计学意义(t=28.965,P<0.05),观察组枕墙距低于对照组,差异有统计学意义(t=6.738,P<0.05);观察组SCL-90评分明显高于对照组,差异有统计学意义(P<0.05);观察组护理满意度(93.33%)高于对照组(73.33%),差异有统计学意义(χ^(2)=4.320,P=0.037);观察组疾病相关知识总掌握度(96.67%)明显高于对照组(73.33%),差异有统计学意义(χ^(2)=4.706,P=0.030)。结论强直性脊柱炎患者应用临床护理路径效果显著,具有临床应用推广价值。

Objective To discuss the clinical value of clinical nursing pathways in patients with ankylosing spondylitis.Methods A total of 60 patients with ankylosing spondylitis admitted to the hospital from January 2018 to August 2019 were selected and randomly divided into observation group and control group,with 30 cases in each group.The control group used conventional nursing methods,and the observation group used clinical nursing paths to compare the pain scores,morning stiffness time and occipital wall distance of patients with the two nursing methods,and at the same time,their SCL-90 scores,nursing satisfaction and disease-related knowledge mastery comparing.Results The pain score of the observation group was lower than that of the control group,the difference was statistically significant(t=13.562,P<0.001),The morning stiffness of the observation group was shorter than that of the control group,the difference was statistically significant(t=28.965,P<0.05).The pillow wall distance of the observation group was lower than the control group,the difference was statistically significant(t=6.738,P<0.05).The SCL-90 score of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05);the nursing satisfaction of the observation group(93.33%)was higher than that of the control group(73.33%),the difference was statistically significant(χ^(2)=4.320,P=0.037);the total mastery of disease-related knowledge in the observation group(96.67%)was significantly higher than that of the control group(73.33%),(χ^(2)=4.706,P=0.030).Conclusion The clinical nursing path for patients with ankylosing spondylitis has a significant effect and has clinical application promotion value.