摘要
目的探讨2型糖尿病患者实施临床护理路径的效果。方法将266例2型糖尿病患者随机分为传统组130例和临床护理路径组136例,传统组每天由当班的责任护士按常规执行医嘱,在护理过程中根据实际病情给予相关知识宣教及护理,由当班护理组长评估患者已存在的和潜在的护理问题,进行针对性的处理和教育;临床护理路径组针对2型糖尿病患者的治疗、检验、饮食、活动、护理、健康教育、出院计划和变异等方面进行评估,制定临床护理路径,从环节上围绕糖尿病患者护理质量目标,通过路径指引护士有步骤、有重点地落实护理措施。比较两组患者护理质量指标(低血糖发生率、跌倒、不遵医嘱用药、胰岛素注射不正确率、饮食不当发生率等)的差异。结果两组患者护理质量比较,除了跌倒、低血糖反应发生率比较差异无统计学意义外,低血糖处理不正确、不遵医嘱用药、胰岛素注射不正确、饮食不当、运动方法不当的发生率比较,差异均有统计学意义(P<0.05)。结论对2型糖尿病患者实施临床护理路径,能减少护理不良事件的发生,确保患者护理质量。
Objective To explore the effect of clinical nursing pathway on nursing quality in patients with type 2 diabetes. Methods Patients with type 2 diabetes were divided into tradition group （n=130） and clinical nursing pathway group （n=136）. Nursing quality indicators （incidence of hypoglycemia, fall risk, incompliance, incidence of incorrect insulin injection, incidence of improper diet and sport） of patients in two groups were compared. Results The incidences of incompliance, incorrect insulin injection, improper diet and sports of clinical nursing pathway group were lower than those of tradition group （P0.05）. Conclusion Clinical nursing pathway is beneficial to the nursing quality of type 2 diabetes patients and reduced the incidence of unsafe cases.
出处
《护理学报》
2011年第14期40-42,共3页
Journal of Nursing（China）
关键词
2型糖尿病
临床护理路径
质量护理
type 2 diabetes
clinical nursing pathway
nursing quality
