摘要
目的对精神分裂症患者实施临床护理路径标准化管理,探讨其最佳的护理管理模式。方法将100例精神分裂症患者随机分为研究组和对照组各50例。研究组按照精神分裂症临床护理路径,实施标准化管理,对照组按精神科常规进行护理,评估NOSIE、ADL、住院天数、护理质量指标测评,比较两组间的差异。结果实施前后患ADL评分比较研究组明显低于对照组(t=7.477,2.266,P=0.000,0.028);住院时间比较研究组明显低于对照组(x2=6.605,P=0.037);NOSIE各因子分比较研究组均优于对照组(t=3.131,2.388,6.248,P=0.002,0.021,0.000);患者和家属满意度比较研究组均优于对照组(x2=8.842,7.814,P=0.003,0.005);护理质量指标评定比较,研究组均优于对照组(x2=5.577,P=0.018)。结论通过标准化管理,提高了患者的生活质量,促进了患者康复,缩短住院时间,提高了患者和家属护理工作的满意率,提高了护理质量,提高了护理管理水平。
Objective To explore application of the standard management of clinical nursing path on schizophrenic and the optimum nursing management mode of schizophrenic. Methods 100 cases of schizophrenic were randomly divided into study group and control group. The study group received standard management of clinical nursing path. The control group received routine psychiatric care. NOSIE, ADL, length of stay, evaluation of nursing quality were assessed and compared between the two groups. Results The ADL scores and length of stay in the study group were significantly lower than those in the control group ( t = 7. 477,2. 266, P 〈 0. 05). Factors of NOSIE, patient satisfactory and evaluation of nursing quality in the study group were superior to the control group (t = 3. 131,2. 388,6. 248, P = 0. 002,0. 021,0. 000). Conclusions Standard management of clinical nursing path in schizophrenic could improve the quality of life of patients, promote patient recovery, shorten hospital stay and increase the satisfaction rate while boost the quality of care and nursing management.
出处
《中华现代护理杂志》
2011年第18期2190-2192,共3页
Chinese Journal of Modern Nursing
基金
基金项目:2010年无锡市科技局市级科技计划社会发展应用技术研究立项项目(CSE01018)