摘要
目的观察对于慢性阻塞性肺疾病(COPD)肺栓塞(PE)高危患者中,运用路径式护理的应用效果分析。方法将2015年12月—2016年12月该院收治COPD疾病PE高危患者71例,采取常规护理干预设对照组。2017年1月该院开展路径式护理,运用于2017年1月—2018年1月,收治另COPD疾病PE高危患者73例设路径组,将两组患者并发PE几率,对护理满意度,住院时间与住院费用对比分析。结果路径组PE率为2.74%,满意率为100.00%,对照组分别为23.94%、74.65%,两组比较差异有统计学意义(χ~2=37.632 5,P=0.000 0;χ~2=33.521 8,P=0.000 0)。其中路径组住院时间与住院总费用分别为(12.23±1.62)d、(1.07±0.03)万元,明显少于对照组,差异有统计学意义(t=10.328 4,P=0.000 0;t=9.687 1,P=0.000 0)。结论对于COPD肺栓塞高危患者而言,采取路径式护理,可明显降低肺栓塞发病率,缩短住院时间,减少患者家庭经济负担,提高患者对护理的满意度,改善护患关系效果理想。
Objective To observe the application effect of path nursing in COPD high-risk patients. Methods 71 cases of PE high-risk COPD diseases patients admitted and treated in our hospital from December 2015 to December 2016 were selected as the control group, using the routine nursing intervention, the path nursing had been developed in our hospital since January 2017 and applied from January 2017 to January 2018, and 73 cases of COPD disease PE highrisk patients were selected as the path group, and the PE probability and nursing satisfactory degree, length of stay and hospitalization cost were compared between the two groups. Results The PE rate and satisfactory degree in the path group and in the control group were respectively 2.74%, 100.00% and 23.94%, 74.65%, and the differences between groups were statistically significant（χ2=37.632 5, P=0.000 0; χ2=33.521 8, P=0.000 0）, and the length of stay and total hospitalization cost in the path group were obviously lower than those in the control group, which were respectively（12.23±1.62）d,（10.7±0.3）thousand yuan, which were obviously lower than those in the control group, and the differences were statistically significant（t=10.328 4, P=0.000 0; t=9.687 1, P=0.000 0）. Conclusion For COPD high-risk patients,the path nursing can obviously improve the morbidity rate, shorten the length of stay, reduce the family economic burden and improve the nursing satisfactory degree, and the effect of improving the medical relationship is ideal.
作者
谭平
TAN V Ping(Department of Respiration,Jianyang People＇s Hospital,Jianyang,Siehuan Province,641400 China)
出处
《系统医学》
2018年第10期175-176,182,共3页
Systems Medicine
