临床护理路径在下肢动脉硬化闭塞症患者中应用效果研究.docVIP

临床护理路径在下肢动脉硬化闭塞症患者中的应用效果研究 　　[摘要]目的 ?Σ煌?手术方式治疗下肢动脉硬化闭塞症患者实施相应的临床护理路径，为临床护理研究提供参考数据。方法 在回顾文献、病历及结合护理经验，设计下肢动脉硬化闭塞症临床护理路径和实施流程的草案。随机抽取2015年1月～2016年6月我科收治的80例下肢动脉硬化闭塞症患者进行研究，本文采取回顾性分析方法，设计和制定下肢动脉硬化闭塞症临床护理路径。分为对照组和实验组，每组各40例。对照组患者使用实施路径前的日常护理计划，实验组患者采用根据不同手术方式制定的相应临床护理路径。以两组患者平均住院时间、康复时间以及对护理内容和健康宣教的满意度作为评价护理效果的依据。结果 实验组患者对护理内容和健康宣教的总满意度高于对照组（P0.05）。实验组患者平均住院时间和术后康复时间与对照组比较显著缩短，差异均有统计学意义（P0.05）。结论 临床护理路径在不同手术方式治疗下肢动脉硬化闭塞症患者中应用，可显著缩短患者在院时间和术后康复时间，加快病床的周转，提高患者对护理工作的满意度，在临床工作中推广和应用可以取得较好的经济效益和社会效益。 　　[关键词]临床护理路径；下肢动脉硬化闭塞症；应用效果研究 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）3（b）-0176-03 　　Application of clinical nursing pathway in patients with lower extremity arteriosclerosis obliterans 　　TANG Jin-hong1 LIU Feng-en1 LIU Hua-zhi2 LIU Jian-ping1 DUAN Xun-hong1 LIU Xiao-yan1 　　1.Third District Department of General Surgery，the First Affiliated Hospital of Gannan Medical College，Jiangxi Province，Ganzhou 341000，China；2.Department of Infection Management，the First Affiliated Hospital of Gannan Medical College，Jiangxi Province，Ganzhou 341000，China 　　[Abstract]Objective To carry out the corresponding clinical nursing pathway for patients with lower extremity arteriosclerosis obliterans treated by different surgical methods，so as to provide reference data for clinical nursing research.Methods Literature review，medical record review and nursing experience were combined to design the clinical nursing pathway and the implementation procedure of lower extremity arteriosclerosis obliterans.80 cases of arteriosclerosis were randomly selected from January 2015 to June 2016 in our department were occlusive disease patients were studied by retrospective analysis method，the design and development of arteriosclerosis obliterans clinical nursing path.Divided into control group and experimental group，40 cases in each group.The control group was used routine nursing plan before the implementation of the path，and the experimental group was adopted the corresponding clinical nursing pa