急性支气管炎患者版临床路径在急性支气管患儿中的应用效果
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摘要
目的探讨急性支气管炎患者版临床路径在急性支气管患儿中的应用效果。方法选取我院2016年1月～2018年3月收治的105例急性支气管炎患儿,按照随机数字表法分为对照组(52例)与观察组(53例)。对组给予传统的方法管理并实施,观察组给予患者版临床路径并实施,比较两组在住院时间、住院费用(包括药品费用、检查费用、治疗费用)、抗生素使用时间、患儿及家属满意度、患儿及家属对疾病的认知水平等指标变化、症状持续时间。结果观察组的住院时间、抗生素使用时间短于对照组,住院费用低于的对照组,差异有统计学意义(P<0.05)。观察组的家属护理总满意度及健康教育达标率均高于对照组,差异有统计学意义(P<0.05)。观察组的喘憋消失、咳嗽消失及喘鸣音消失时间均短于对照组,差异有统计学意义(P<0.05)。结论将急性支气管炎患者版临床路径用于临床工作中效果更好,其改善围住院期指标的同时,更好地缓解患儿症状。
Objective To explore application effect of clinical pathway of acute bronchitis in children with acute bronchitis.Methods A total of 105 cases of children with acute bronchitis treated in our hospital from January 2016 to March 2018 were selected,they were divided into control group and observation group according to random number table method,there were 53 cases in the observation group and 52 cases in the control group.The control group was given management and implementation to the traditional methods,the observation group was given patients clinical pathway and implementation,hospital stay,hospital expenses(including drug cost,inspection cost,cost of treatment),antibiotic use time and the degree of children and their families,children and families of cognitive level indicators such as changes of disease were compared between the two groups.Results Compared with the control group,the hospitalization time,antibiotic use time were both shorter in the observation group,hospitalization cost was lower than that in the the observation group,the differences were statistically significant(P<0.05).Compared with the control group,the nursing satisfaction and healthy education index were both higher in the observation group,the differences were statistically significant(P<0.05).Compared with the control group,the loss of asthma,the disappearance of cough and the disappearance of wheezing sound were shorter in the observation group,the differences were statistically significant(P<0.05).Conclusion The clinical application of the clinical pathway in patients with acute bronchitis is more effective and can improve the indicators of peri-hospitalization and better relieve symptoms.
Objective To explore application effect of clinical pathway of acute bronchitis in children with acute bronchitis.Methods A total of 105 cases of children with acute bronchitis treated in our hospital from January 2016 to March 2018 were selected,they were divided into control group and observation group according to random number table method,there were 53 cases in the observation group and 52 cases in the control group.The control group was given management and implementation to the traditional methods,the observation group was given patients clinical pathway and implementation,hospital stay,hospital expenses(including drug cost,inspection cost,cost of treatment),antibiotic use time and the degree of children and their families,children and families of cognitive level indicators such as changes of disease were compared between the two groups.Results Compared with the control group,the hospitalization time,antibiotic use time were both shorter in the observation group,hospitalization cost was lower than that in the the observation group,the differences were statistically significant(P<0.05).Compared with the control group,the nursing satisfaction and healthy education index were both higher in the observation group,the differences were statistically significant(P<0.05).Compared with the control group,the loss of asthma,the disappearance of cough and the disappearance of wheezing sound were shorter in the observation group,the differences were statistically significant(P<0.05).Conclusion The clinical application of the clinical pathway in patients with acute bronchitis is more effective and can improve the indicators of peri-hospitalization and better relieve symptoms.
引文
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[13]张玲.临床护理路径在慢性支气管炎患者中的应用[J].中国医药指南,2016,14(3):218-219.
[14]焦扬.健康教育护理干预在老年慢性支气管炎患者中的应用效果[J].中国保健营养,2016,26(1):34-35.
[15]曹丽花.临床护理路径在小儿支气管肺炎患儿中的应用效果[J].临床合理用药杂志,2016,9(27):106-107.
[16]胡晓利.临床护理路径在支气管哮喘患者健康教育中的应用[J].心理医生,2017,23(29):34-35.
[17]王超,曾小燕,郝兴亮.临床护理路径在急性发作支气管哮喘住院患者中的应用[J].齐鲁护理杂志,2017,23(9):21-23.
[2]刘春贤.小儿毛细支气管炎普米克令舒与复方异丙托溴铵联合用药的临床分析[J].世界最新医学信息文摘,2015,15(31):116-117.
[3]王玉,游楚明,梁剑.Th17在小儿毛细支气管炎中的研究进展[J].中外医疗,2014,6(3):196-197.
[4]贾俊峰,袁慧欣,赵建国,等.急救临床路径应用于战伤早期救治的探讨[J].中华灾害救援医学,2014,2(3):144-146.
[5]Hasegawa K,Mansbach JM,Camargo CA.Infectious pathogens and bronchiolitisoutcomes[J].Expert Rev Anti Infect Ther,2014,12(7):817-828.
[6]洪建国,陈强,陈志敏,等.儿童常见呼吸道疾病雾化吸入治疗专家共识[J].中国实用儿科杂志,2012,27(4):265-269.
[7]Pershad J.The therapeutic value of hypertonie saline in acute bronchiolitis remains unclear[J].Evid Based Med,2015,20(1):24-25.
[8]Ni K,Li S,Xia Q,et al.Pharyngeal microflora disruption hy anti-biotics promotes airway hyperresponsiveness after respiratory syncytial virus infection[J].PLoS One,2012,7(7):110-111.
[9]Teunissen J,Hochs AH,Vaessen-Verberne A,et al.The effect of 3%and 6%hypertonic saline in viral bronchiolitis:a randomised controlled trial[J].Eur Respir J,2014,44(4):913-921.
[10]Wu S,Baker C,Lang ME,et al.Nebulized hypertonic saline for bronehiolitis:a randomized clinical trial[J].JAMA Pediatr,2014,168(7):657-663.
[11]Kim HS,Kim SO,Kim BS.Use of a clinical pathwayin laparoscopic gastrectomy for gastric cancer[J].World J Gastroenterol,2015,21(48):13507-13517.
[12]Vujasinovic M,Makuc J,Tepes B,et al.Impact of a clinicalpathway on treatment outcome in patients with acutepancreatitis[J].World J Gastroenterol,2015,21(30):9150-9155.
[13]张玲.临床护理路径在慢性支气管炎患者中的应用[J].中国医药指南,2016,14(3):218-219.
[14]焦扬.健康教育护理干预在老年慢性支气管炎患者中的应用效果[J].中国保健营养,2016,26(1):34-35.
[15]曹丽花.临床护理路径在小儿支气管肺炎患儿中的应用效果[J].临床合理用药杂志,2016,9(27):106-107.
[16]胡晓利.临床护理路径在支气管哮喘患者健康教育中的应用[J].心理医生,2017,23(29):34-35.
[17]王超,曾小燕,郝兴亮.临床护理路径在急性发作支气管哮喘住院患者中的应用[J].齐鲁护理杂志,2017,23(9):21-23.