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临床护理路径在大面积脑梗死护理中的应用效果研究

Application of Clinical Nursing Pathway in Nursing Care of Massive Cerebral Infarction
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摘要 目的探讨临床护理路径在大面积脑梗死护理中的应用效果。方法选取我院(2015年1月至2017年1月)收治的124例大面积脑梗死患者,根据不同护理方法分为两组,观察组(n=62)给予临床护理路径护理,对照组(n=62)给予临床护理路径护理,对比两组患者护理前后肢体运动功能、日常生活能力和并发症发生情况、服药依从性以及护理满意度。结果两组患者护理后FAM评分和Barthel指数均明显提高,但观察组患者提升更为明显,差异具统计学意义(P <0.05)。两组患者并发症发生率12.90%vs 43.55%对比差异明显,具有统计学意义(P <0.05)。两组患者服药依从性90.32%vs 56.45%对比差异明显,具有统计学意义(P <0.05)。两组患者护理满意度96.77%vs 80.65%对比差异明显,具有统计学意义(P <0.05)。结论临床护理路径在大面积脑梗死护理中有效降低了护理差错,增强了患者的自护能力,患者满意度高,值得临床推广。 Objective To explore the application effect of clinical nursing pathway in nursing care of massive cerebral infarction. Methods 124 patients with massive cerebral infarction admitted to our hospital from January 2015 to January 2017 were divided into two groups according to different nursing methods. The observation group (n=62) was given clinical nursing pathway nursing, and the control group (n=62) was given clinical nursing pathway nursing. The limb motor function and daily life before and after nursing were compared between the two groups. Ability and complications, medication adherence and nursing satisfaction. Results The FAM score and Barthel index of the two groups were significantly improved after nursing, but the improvement of the observation group was more obvious, the difference was statistically significant (P <0.05). The incidence of complications in the two groups was 12.90% vs 43.55%. The difference was significant (P <0.05). The difference between the two groups was statistically significant (90.32% vs 56.45%). The difference between the two groups was statistically significant (P <0.05). Two groups of patients with nursing satisfaction 96.77% vs 80.65% contrast difference was statistically significant (P <0.05). Conclusion The clinical nursing pathway can effectively reduce nursing errors in large area cerebral infarction nursing, enhance patients'self-care ability, and patients' satisfaction is high, which is worthy of clinical promotion.
作者 席月东 XI Yue-dong(Yanggu People's Hospital, Liaocheng 252300,China)
出处 《中国医药指南》 2019年第10期6-8,共3页 Guide of China Medicine
关键词 临床护理路径 护理差错 自护能力 满意度 大面积脑梗死 Clinical nursing pathway Nursing errors Self-care ability Satisfaction Large area cerebral infarction
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