临床路径护理模式在肝硬化腹水中与实施效果分析.docVIP

临床路径护理模式在肝硬化腹水中的实施效果分析 李晶晶，邹优兰，黄雪霞 （广西中医学院第一附属医院广西中医肝病治疗中心12656.6±487.5元，患者满意度为98.2±5.2分，健康知识掌握度评分为28.6±3.8分，对照组分别为17.4±5.2天，14670.4±524.3，93.5±6.4分，25.2±3.7分，两组差异有统计学意义（P＜0.05）。结论：采用临床路径护理模式管理肝硬化腹水患者能显著缩短住院时间，减少医疗费用，提高患者的满意度及健康知识掌握度。 关键词：肝硬化腹水；临床路径；护理 Analysis of the implementation effect of clinical nursing pathway in Cirrhosis Ascites patients Li-jingjing,Huang-xuexia,Zou-youlan（The first affiliated hospital, Guangxi Traditional Chinese Medical University,Nanning, Guangxi, 530023. P.R.China） Abstract Objective: To evaluate the implementation effect of clinical nursing pathway in Cirrhosis Ascites patients.Methods: 110 cases of Cirrhosis Ascites patients were randomly divided into treatment group and the control group, the treatment group treat with the clinical nursing pathway program, the control group treat with the traditional program, were observed in length of stay, medical costs , health knowledge to grasp the situation and differences in patient satisfaction. Results: Treatment group, the average length of stay was 14.6?.6adays, the total cost of hospitalization is 12656.6±487.5 yuan, patient satisfaction is 98.2±5.2points, health knowledge score of 28.6±3.8 points in the control group were 17.4±5.21days, 14670.4±524.3 Yuan, 93.5±6.4points, 25.2±3.7points, the difference was statistically significant （P＜0.05）. Conclusions: Using clinical nursing pathway management of Cirrhosis Ascites patients can significantly shorten the length of hospital stay, reduce medical costs, improve patient satisfaction and degree of health knowledge. Key word: Cirrhosis Ascites; clinical pathway; Nurse 　肝硬化腹水（Cirrhosis Ascites）是在肝硬化基础上发生腹水的疾病，是肝硬化患者肝功能由代偿期进入失代偿期的主要标志之一。由于该病病情较重，治疗的药物及方法费用偏高，加之病情久治不愈，需反复住院治疗，导致患者的经济负担非常沉重。临床路径（Clinical Pathways，CP）最早由美国马萨诸塞州波士顿新英格兰医疗中心（The New England Medical Center，NEMC）的Karen Zander护土和她的助手们运用护理程序与路径的概念，大胆尝试以护理为主的临床路径服务计划，将路径应用于医院的急救护理，其结果发现这种方式既可缩短住院天数、节约护理费用，又可以达到预期的治疗效果。此后，该模式受到了全世界医学界的重视，不断完善与推广 [1]。本肝病科对肝硬化腹水患者临床路径护理模式管理，取得满意的临床疗效，现报