临床护理路径在冠状动脉粥样硬化性心脏病心绞痛患者中的应用效果
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摘要
目的探讨临床护理路径在冠状动脉粥样硬化性心脏病心绞痛患者中的应用效果。方法选取我院(2015年1月至2017年1月收治的86例冠状动脉粥样硬化性心脏病心绞痛患者,根据不同护理方法分为两组,两组患者均给予注意事项指导、相关知识讲解、用药治疗指导、不良反应处理方法等常规护理,观察组(n=43)给予临床护理路径护理,对照组(n=43)给予常规护理,对比两组患者临床疗效和住院时间、干预前后负性心理、不良反应发生率以及护理满意度。结果两组患者临床疗效90.70%vs 76.74%对比差异明显,具有统计学意义(P<0.05)。两组患者住院时间对比差异明显,具有统计学意义(P<0.05)。干预后两组患者负性心理SDS、SAS评分均有所改善,但观察组患者降低更为明显,差异具有统计学意义(P<0.05)。两组患者便秘、输液反应、心绞痛发生率4.65%、2.33%、2.33%vs20.93%、13.95%、18.60%对比差异明显,具有统计学意义(P<0.05)。两组患者护理满意度对比97.67%vs72.09%对比差异明显,具有统计学意义(P<0.05)。结论临床护理路径在冠状动脉粥样硬化性心脏病心绞痛患者中的应用效果有效患者满意,值得临床能推广。
Objective To explore the effect of clinical nursing pathway in patients with coronary atherosclerotic heart disease and angina pectoris.Methods 86 patients with coronary atherosclerotic heart disease and angina pectoris admitted to our hospital from January 2015 to January 2017 were divided into two groups according to different nursing methods. Both groups were given routine nursing care, such as attention guidance, related knowledge explanation, medication treatment guidance, and treatment of adverse reactions. The observation group(n=43)(2) Clinical nursing pathway nursing was given, and routine nursing was given in the control group(n=43). The clinical efficacy and hospitalization time, negative psychology before and after intervention, incidence of adverse reactions and nursing satisfaction were compared between the two groups. Result The clinical efficacy of the two groups was 90.70% vs 76.74%. The difference was significant(P<0.05). The difference of hospitalization time between the two groups was statistically significant(P<0.05). After intervention, the negative psychological SDS and SAS scores of the two groups were improved, but the decrease of the observation group was more obvious, the difference was statistically significant(P<0.05). The incidence of constipation, transfusion reaction and angina pectoris in the two groups was 4.65%, 2.33%, 2.33% vs 20.93%, 13.95% and 18.60% respectively. The difference was significant(P<0.05). There was significant difference between the two groups in nursing satisfaction(97.67% vs 72.09%, P <0.05). Conclusion The clinical nursing pathway in patients with coronary atherosclerotic heart disease and angina pectoris is effective and satisfactory, which is worthy of clinical promotion.
Objective To explore the effect of clinical nursing pathway in patients with coronary atherosclerotic heart disease and angina pectoris.Methods 86 patients with coronary atherosclerotic heart disease and angina pectoris admitted to our hospital from January 2015 to January 2017 were divided into two groups according to different nursing methods. Both groups were given routine nursing care, such as attention guidance, related knowledge explanation, medication treatment guidance, and treatment of adverse reactions. The observation group(n=43)(2) Clinical nursing pathway nursing was given, and routine nursing was given in the control group(n=43). The clinical efficacy and hospitalization time, negative psychology before and after intervention, incidence of adverse reactions and nursing satisfaction were compared between the two groups. Result The clinical efficacy of the two groups was 90.70% vs 76.74%. The difference was significant(P<0.05). The difference of hospitalization time between the two groups was statistically significant(P<0.05). After intervention, the negative psychological SDS and SAS scores of the two groups were improved, but the decrease of the observation group was more obvious, the difference was statistically significant(P<0.05). The incidence of constipation, transfusion reaction and angina pectoris in the two groups was 4.65%, 2.33%, 2.33% vs 20.93%, 13.95% and 18.60% respectively. The difference was significant(P<0.05). There was significant difference between the two groups in nursing satisfaction(97.67% vs 72.09%, P <0.05). Conclusion The clinical nursing pathway in patients with coronary atherosclerotic heart disease and angina pectoris is effective and satisfactory, which is worthy of clinical promotion.
引文
[1]王红,孙文利,马杨,等.临床护理路径在冠状动脉粥样硬化性心脏病心绞痛患者中的应用效果[J].临床医学研究与实践,2018,3(28):157-158.
[2]魏红蕾.以“路径”冠名的中国护理论文发表现状分析[J].中国护理管理,2011,11(7):12-14.
[3]张雪梅,刘莹莹,王彬,等.临床护理路径在急诊呼吸衰竭患者重症监测中的护理观察[J].中国卫生标准管理,2017,8(19):194-195.
[4]韩文秀,刘仙岭.临床护理路径在冠状动脉粥样硬化性心脏病心绞痛患者护理中的应用效果观察[J].临床医药文献电子杂志,2017,4(57):11221-11222.
[5]许亚萍.临床护理路径在重症烧伤护理中的应用分析[J].当代临床医刊,2017,30(1):2795-2796.
[6]郭全英.临床护理路径在小儿支气管肺炎中的护理效果观察[J].航空航天医学杂志,2016,27(5):666-667.
[7]刘斌斌.循证护理及临床护理路径在糖尿病患者护理中的应用[J].中国医学工程,2014,22(10):141.
[8]张金珍.临床护理路径在ICU呼吸衰竭中的应用效果[J].中国当代医药,2014,21(29):129-131.
[9]潘楚梅,汤昌连,张琢玉,等.经桡动脉路径冠状动脉介入术后外周血管并发症的预防护理[J].护理学杂志,2014,29(13):25-27.
[10]孙亚超.中西医结合临床护理路径在老年股骨骨折患者护理中的应用研究[D].长春:长春中医药大学,2014.
[11]杨静.经桡动脉路径冠状动脉介入术后的临床护理[J].贵州医药,2012,36(3):284-285.
[12]汪玉霞,陈芳梅.临床护理路径在腰椎间盘突出手术患者健康教育中的应用[J].中国医药指南,2011,9(31):414-415.
[13]杨会荣.临床护理路径在冠状动脉粥样硬化性心脏病心绞痛患者护理中的应用效果[J].中外医学研究,2018,16(5):110-111.
[2]魏红蕾.以“路径”冠名的中国护理论文发表现状分析[J].中国护理管理,2011,11(7):12-14.
[3]张雪梅,刘莹莹,王彬,等.临床护理路径在急诊呼吸衰竭患者重症监测中的护理观察[J].中国卫生标准管理,2017,8(19):194-195.
[4]韩文秀,刘仙岭.临床护理路径在冠状动脉粥样硬化性心脏病心绞痛患者护理中的应用效果观察[J].临床医药文献电子杂志,2017,4(57):11221-11222.
[5]许亚萍.临床护理路径在重症烧伤护理中的应用分析[J].当代临床医刊,2017,30(1):2795-2796.
[6]郭全英.临床护理路径在小儿支气管肺炎中的护理效果观察[J].航空航天医学杂志,2016,27(5):666-667.
[7]刘斌斌.循证护理及临床护理路径在糖尿病患者护理中的应用[J].中国医学工程,2014,22(10):141.
[8]张金珍.临床护理路径在ICU呼吸衰竭中的应用效果[J].中国当代医药,2014,21(29):129-131.
[9]潘楚梅,汤昌连,张琢玉,等.经桡动脉路径冠状动脉介入术后外周血管并发症的预防护理[J].护理学杂志,2014,29(13):25-27.
[10]孙亚超.中西医结合临床护理路径在老年股骨骨折患者护理中的应用研究[D].长春:长春中医药大学,2014.
[11]杨静.经桡动脉路径冠状动脉介入术后的临床护理[J].贵州医药,2012,36(3):284-285.
[12]汪玉霞,陈芳梅.临床护理路径在腰椎间盘突出手术患者健康教育中的应用[J].中国医药指南,2011,9(31):414-415.
[13]杨会荣.临床护理路径在冠状动脉粥样硬化性心脏病心绞痛患者护理中的应用效果[J].中外医学研究,2018,16(5):110-111.