临床护理路径在手外伤交腹皮瓣修复术患者中应用探究.docVIP

临床护理路径在手外伤交腹皮瓣修复术患者中应用探究【摘要】 目的 探讨临床护理路径(Clinical nursing pathway，CNP)应用于手外伤交腹皮瓣修复术患者的实施效果。方法 将手外伤交腹皮瓣修复术患者66例，随机分为对照组26例实施传统的护理，实验组30例实施CNP，将两组的治疗护理效果进行对比。结果 实验组的住院天数和医疗费用较对照组明显降低(P0．01)，健康教育知晓率和患者满意度实验组均高于对照组(P0．05)，差异均具有统计学意义。结论 CNP应用于手外伤交腹皮瓣修复术患者能有效提高健康教育知晓率和患者满意度，并可降低住院天数和总的医疗费用。? 【关键词】临床护理路径；手外伤；交腹皮瓣；皮肤移植；护理研究 ?? Application of clinical nursing pathway in patients with hand injury undergoing skin transplantation from abdomen WANG Ying-qiong.The Second Department of Fracture and Wounds,FoshanHospital of Traditional Chinese Medicine,Foshan,Guangdong 528000，China ? 【Abstract】 Objective To study the application efficacy of clinical nursing pathway in patients with hand injury undergoing skin transplantation from abdomen.Methods 66patients were random1y divided into control group(n=30)with traditional treatment and nursing，and experiment group(n=26)treated with clinical nursing pathway application.The curative and nursing efficacy of the 2 groups was compared.Results The average inhospital days and expense in the experiment group are much lower than that in the control group(P0．01).And the understanding rate of health education and degree of patients satisfactionin the experiment group are much higher than that in the group(P0．05).Conclusion The understanding rate of health education and patients satisfaction degree can beincreased by clinical nursing pathway application effectively in patients with hand injury undergoing skin transplantation from abdomen,and reduce the average inhospital days and expense.? 【Key words】Clinical Nursing Pathway;Hand injury;Skin flap from abdomen;skin transplantation;Clinical nursing study CNP是指医院里一组成员共同针对某一病种的监测、治疗、康复和护理所制定的一个有严格工作顺序、准确时间要求的医、护计划，以减少康复的延迟及资源的浪费，使服务对象获得最佳的医疗护理服务质量的新型管理模式[1]。它已成为20世纪以来有效控制医疗费用、改善医疗品质的一个崭新医疗模式,是科学、高效的医学护理模式。国外十几年的实践证明:临床路径的实施,对于缩短患者平均住院日、限制医疗费用增长、规范诊疗护理手段、加强医护合作、提高患者满意度等方面都能起到积极作用[2-3]。? 从2004年开始本院手足显微外科将临床护理路径运用于手外伤交腹皮瓣修复术患者，取得较好效果，现报告如下。? 1 资料与方法? 1．1 临床资料 2004年2月至2008