临床护理路径在微创介入术治疗先天性心脏病患儿中的效用分析

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摘要目的探讨临床护理路径在微创介入术治疗先天性心脏病(CHD)患儿中的应用效果。方法将我院收治的60例行微创介入术治疗CHD患儿按照收治入院顺序进行编号,并根据编号进行分组,其中单号为对照组(30例)接受常规护理,双号为干预组(30例)实施临床护理路径。对两组患儿围手术期相关指标,并发症发生率,依从率、健康教育知晓率及护理满意度进行比较。结果干预组患儿的疼痛评分4.11±1.05、平均住院时间5.34±1.62及住院费用3.18±0.22均优于对照组的5.72±1.47、6.58±1.34、3.72±0.40,差异有统计学意义(P<0.05)。干预组并发症发生率(20.00%)低于对照组(50.00%),差异有统计学意义(P<0.05)。干预组依从率(76.67%)、健康教育知晓率(90.00%)及护理满意度(83.33%)高于对照组(40.00%,60.00%,53.33%),差异有统计学意义(P<0.05)。结论临床护理路径可有效提高护理效率,缩减住院时间及费用,降低并发症发生率,提高护理满意度。　

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	黄珊珊
	徐芳
	陈晓菊

关键词 ：先天性心脏病, 微创介入术, 临床护理路径

Abstract：Objective To investigate the application effect of clinical nursing pathway (CNP) in minimally invasive intervention for children with congenital heart disease (CHD). Methods A total of 60 children with CHD treated in a hospital were numbered according to the order of admission, with odd numbers categorized into a control group (30 cases) while even numbers into an intervention group (30 cases). The control group received the routine nursing measures, and the intervention group received the CNP measures. The pain score, average hospitalization time, expenses, post-operative complication rate, compliance rate, awareness rate of health education, and satisfaction rate of the patients were compared between the two groups. Results The pain score, average hospitalization time, and expenses in the intervention group were (4.11±1.05) points, (5.34±1.62) days, and (3.18±0.22) 104 yuan, which were significantly superior to those in the control group . The incidence of postoperative complications in the intervention group was 20.00%, which was significantly lower than that in control group (50.00%, P<0.05). The compliance rate, awareness rate of health education, and satisfaction rate in intervention group were significantly higher than those in the control group . Conclusion The clinical nursing pathway can effectively promote nursing efficiency, reduce hospitalization time, expenses, incidence of complications, and improve the patient satisfaction.

Key words： congenital heart disease (CHD) minimally invasive intervention clinical nursing pathway

收稿日期: 2020-07-12

ZTFLH:

R47

作者简介: 黄珊珊(1982-),女,江苏徐州人,主管护师,本科学历,研究方向为儿童心血管护理。

引用本文:

黄珊珊,徐芳,陈晓菊. 临床护理路径在微创介入术治疗先天性心脏病患儿中的效用分析[J]. 中国校医, 2020, 34(11): 836-838,841.
HUANG Shan-shan, XU Fang, CHEN Xiao-ju. Effect of clinical nursing pathway in minimally invasive interventional treatment for children with congenital heart disease. Chinese Journal of School Doctor, 2020, 34(11): 836-838,841.

链接本文:

https://www.zgxyzz.org.cn/CN/ 或 https://www.zgxyzz.org.cn/CN/Y2020/V34/I11/836

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