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临床护理路径在骨科手术患者中的应用及评价 被引量:16

The Application and Evaluation of Clinical Nursing Pathway in the Patients Undergoing Orthopedic Surgery
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摘要 目的探讨临床护理路径在骨科手术患者中的应用方法与效果。方法 40例四肢骨折并接受择期手术治疗的患者平分为两组,两组患者都采用常规的手术方法治疗,护理组患者在此基础上加用基于肌肉放松训练的临床护理路径。结果护理前两组状态焦虑得分相比无差异,经过护理后,对照组护理前后焦虑得分有差异,但下降幅度不大;护理组护理后焦虑得分明显低于护理前的得分,差异有统计学意义(P<0.01)。护理前两组自我效能感得分相比无差异,经过护理后,对照组自我效能感得分基本无变化;护理组护理后自我效能感得分明显低于护理前的得分,差异有统计学意义(P<0.05)。结论基于肌肉放松训练的临床护理路径可以有效降低骨折患者的焦虑水平,缓解由焦虑所致的自我效能感反应,值得推广应用。 Objective To explore the methods and results of clinical nursing pathway in the patients undergoing orthopedic surgery. Methods 40 patients with limb fractures undergoing selective surgical treatment were equally divided into two groups,the patients of two groups were treated by using conventional surgical methods,based on these,the patients in this nursing group were given the clinical nursing pathway of muscle relaxation training. Results The anxiety scores of the two groups showed no difference before nursing,after nursing,anxiety scores of the control group before and after nursing were different,but the decrease amplitude was not obvious;the anxiety scores of nursing group after nursing were significantly lower than those before nursing,the difference was statistically significant(P 0.01) . Nursing self-efficacy scores of the two groups showed no difference before nursing,after nursing the self-efficacy scores of the control group basically did not change;the self-efficacy scores of the nursing group after nursing were significantly lower than those before nursing,the difference was statistically significant(P 0.05) . Conclusion The clinical nursing pathway based on muscle relaxation training can reduce the anxiety level of patients with fractures,relieve anxiety caused by the reaction of self-efficacy,so it shall be widely applied.
出处 《临床医学工程》 2011年第6期941-942,共2页 Clinical Medicine & Engineering
关键词 临床护理路径 四肢骨折 焦虑 自我效能感 Clinical nursing pathway Limb fractures Anxiety Self-efficacy
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