摘要
目的:探讨临床护理路径在经桡动脉冠状动脉介入治疗(TRI)患者的效果。方法:收集本院2017年1月至2018年5月100例TRI患者按就诊时间顺序均分为对照组和研究组。对照组予常规护理,研究组予临床护理路径。评估2组患者手术侧食指肿痛、卫生经济指标和并发症发生率等。结果:研究组与对照组相比,食指根部周径(0. 19±0. 08 VS 0. 48±0. 13) cm、腕围肿胀值(0. 37±0. 05 VS 0. 79±0. 13) cm、Sa O2波动值(0. 35±0. 03 VS 2. 16±0. 49)%、疼痛值(1. 93±0. 78 VS 4. 25±1. 32)分、住院天数(4. 36±0. 75 VS 7. 21±1. 26) d、医疗费用(1. 98±0. 62 VS 2. 73±0. 54万元)和并发症发生率(16%VS 40%)有差异(P <0. 05),舒适度优于对照组(P <0. 05)。结论:应用临床护理路径有助于减轻TRI患者肿痛、改善患肢血循和舒适度、降低并发症发生率,缩短住院天数和降低医疗费用。
[Objective]To investigate the clinical effect of CNP in TRI patients.[Method]From Jan 2017 to May 2018,100 TRI patients were randomly divided into two groups according to curing time sequence.The control group were given routine care,and the research group were provided CNP.The refers to the swelling index,CNP health economics indicators and omplication rate were evaluated in the two groups.[Result]The circumference diamete(0.19±0.08 vs 0.48±0.13cm),wrist circumference swelling value(0.37±0.05 vs 0.79±0.13cm),SaO2 fluctuation value(0.35±0.03%vs 2.16±0.49%),pain value(1.93±0.78 vs 4.25±1.32 score),hospital day(4.36±0.75 vs 7.21±1.26d)and expense of hospitalization(1.98±0.62 vs 2.73±0.54 ten thousand yuan),complication rate(16%vs 40%)in the research group were lower than these of the control group,the postoperative comfort in the research group were higher than the control group,the differences were statistically significant(P<0.05).[Conclusion]The CNP can relieve TRI patients’pain,swell,improve blood circulation and comfort,reduce complications,hospital day and expense of hospitalization.
作者
莫丽佳
叶仙华
MO Lijia;YE Xianhua(The First People’s Hospital of Wenling,Zhejiang 317500,China)
出处
《浙江医学教育》
2019年第1期36-38,41,共4页
Zhejiang Medical Education
关键词
临床护理路径
桡动脉冠状动脉介入
临床疗效
clinical nursing pathway
trans radial coronary intervention
clinical effect
