全面护理模式对输入性疟疾患者的效果

Effect of comprehensive nursing mode for patients with imported malaria

目的对输入性疟疾患者应用全面护理模式,查看对护理质量、临床效果、满意度的影响。方法选取2018年9月至2019年9月在郑州市第六人民医院确诊为输入性恶性疟疾患者40例进行随机对照试验,随机数字表法分为两组,每组20例。其中对照组男14例、女6例,年龄(44.98±1.0)岁,采用常规护理干预;研究组男15例、女5例,年龄为(45.25±1.2)岁,采用全面护理模式干预。对比两组护理质量、临床效果、满意度的差异性。统计学方法采用t检验、χ^(2)检验。结果研究组病区管理、基础护理、护理方案、文案书写、健康知识知晓评分均比对照组组高[(93.25±2.15)分比(83.70±2.05)分、(94.35±3.35)分比(82.10±5.15)分、(95.45±3.15)分比(83.35±4.08)分、(95.28±5.15)分比(82.70±3.25)分、(86.35±4.15)分比(71.25±3.05)分],差异均有统计学意义(t=14.377、8.917、10.498、9.238、13.122,均P<0.05);研究组的住院时间、疟原虫转阴时间、退热时间均优于对照组,差异均有统计学意义(t=2.533、4.152、5.493,均P<0.05);研究组总满意度为95.0%(19/20),高于观察组[60.0%(12/20)],差异有统计学意义(χ^(2)=7.025,P=0.008)。结论在输入性恶性疟疾中应用全面护理模式,能提高护理人员的护理质量,提高临床疗效,减少住院时间和并发症的发生,提高患者的满意度,值得应用与推广。

Objective To explore the influence of comprehensive nursing mode on nursing quality,clinical effect,and satisfaction in patients with imported malaria.Methods Forty patients with imported falciparum malaria treated in Department of Infectious Diseases,Zhengzhou Sixth People's Hospital from September 2018 to September 2019 were selected for the random control trial.They divided into a control group and a research group,with 20 cases in each group.There 14 males and 6 females in the control group;they were(44.98±1.0)years old.There 15 males and 5 females in the research group;they were(45.25±1.2)years old.The control group were routinely cared.The research group were comprehensively cared.The nursing qualities,clinical effects,and satisfaction were compared between these two groups.t and χ^(2) tests were applied.Results The scores of ward management,basic nursing,nursing scheme,copywriting,and health knowledge awareness in the research group were higher than those in the control group[(93.25±2.15)vs.(83.70±2.05),(94.35±3.35)vs.(82.10±5.15),(95.45±3.15)vs.(83.35±4.08),(95.28±5.15)vs.(82.70±3.25),and(86.35±4.15)vs.(71.25±3.05)],with statistical differences(t=14.377,8.917,10.498,9.238,and 13.122;all P<0.05).The hospitalization time of the control group,the time for malaria parasite to turn negative,and the time for fever to subside in the research group were shorter than those in the control group,with statistical differences(t=2.533,4.152,and 5.493;P<0.05).The total satisfaction of the observation group was higher than that of the control group[95%(19/20)vs.60%(12/20)],with a statistical difference(χ^(2)=7.025,P=0.008).Conclusion Comprehensive nursing mode for patients with imported falciparum malaria can improve the nursing quality,clinical efficacy,and their satisfaction,and reduce hospital stay and complications,so it is worth being generalized.