摘要
目的探讨临床护理途径在急性肾功能衰竭治疗中的临床意义。方法选择安阳市第三人民医院2010年6月～2010年12月所收治的急性肾功能衰竭患者84例,分为观察组和对照组,每组各42例。观察组采用预先设置的临床护理路径进行护理,对照组采用常规医嘱进行护理。比较两组患者的健康教育效果、透析间隔时间、住院时间及医疗费用、治疗满意度。结果观察组患者健康教育总掌握率[88.1%(37/42)]显著高于对照组[50.0%(21/42)],差异有统计学意义(χ2=14.26,P<0.01)。观察组透析间隔时间[(3.88±0.68)d]显著长于对照组[(3.03±0.77)d],差异有统计学意义(t=6.44,P<0.01);观察组住院时间[(18.63±4.56)d]短于对照组[(35.34±5.03)d],医疗费用[(8119.12±3047.31)元]显著低于对照组[(12 546.47±3246.11)元],差异均有统计学意义(t=15.95、5.36,均P<0.01)。观察组患者治疗满意度[90.5%(38/42)]显著高于对照组[73.8%(31/42)],差异有统计学意义(χ2=3.98,P<0.05)。结论临床护理路径可以改善急性肾功能衰竭患者的治疗效果,对提高患者的生活质量具有重要意义,值得临床推广应用。
Objective To study the application effect of clinical nursing pathway in patients with acute renal failure. Methods 84 patients of acute renal failure in the Third People＇s Hospital of Anyang from June 2010 to December 2010 were selected and randomly divided into observation group and control group with 42 cases in each group. Clinical nursing pathway in advance was used in observation group, routine nursing was used in control group. Effect of health education, dialysis time interval, hospital stays, hospitalization costs and treatment satisfaction were compared between the two groups. Results The total control rate of health education in observation group [88.1% （37/42）] was higher than that in control group [50.0% （21/42）], the difference was statistically significant （χ2=-14.26, P 〈 0.01）. Dialysis time interval in observation group [（3.88±0.68） d] was longer than that in control group [（3.03±0.77） d], the difference was statistically significant （t = 6.44, P 〈 0.01）. Hospital stays in observation group [（18.63±4.56） d] was shorter than that in control group [（35.34±5.03） d], hospitalization costs in observation group [（8119.12±3047.31） yuan] were smaller than those in control group [（12 546.47±3246.11） yuan], the differences were statistically significant （t = 15.95, 5.36, P 〈 0.01）. Treatment satisfaction rate in observation group [90.5% （38/42）] was higher than that in control group[73.8% （31/42）], the difference was statistically significant （χ2=3.98, P 〈 0.05）. Conclusion The clinical nursing pathway can improve the treatment effect of patients with acute renal failure and improve the quality of life of the patients, which shows lots of clinical importance and worthy of promotion.
出处
《中国医药导报》
CAS
2013年第11期145-147,共3页
China Medical Herald
关键词
临床护理
急性肾衰竭
效果评价
Clinical nursing
Acute renal failure
Effect evaluation
