临床护理路径应用于舒张性心力衰竭护理分析.docVIP

临床护理路径应用于舒张性心力衰竭的护理分析 　　摘要：目的 探讨临床护理路径在舒张性心力衰竭中的应用效果。方法 收集我院2014年6月～2015年6月在心内科治疗的74例有舒张性心力衰竭症状的患者按是否愿意接受临床护理路径干预分为两组。对照组患者给予常规护理，实验组患者加施临床护理路径，。结果 实验组患者的卧床时间、住院时间及医疗费用均显著性低于对照组患者，存在显著性差异，具有统计学意义（P0.01）；实验组患者护理满意度显著性优于对照组，存在显著性差异，具有统计学意义（P0.01）。结论 临床护理路径在舒张性心力衰竭中的应用效果显著，可减少平均住院时间，提高护理满意度，具有借鉴性。 　　关键词：临床护理路径；常规护理；舒张性心力衰竭；平均住院时间；护理满意度 　　Abstract：Objective To explore the effect of clinical nursing pathway in patients with diastolic heart failure.Methods Collected in our hospital in June 2014 to 2015 June in heart internal medicine treatment of 74 cases of diastolic symptomatic heart failure patients according to whether it is willing to accept the clinical nursing pathway intervention into two groups.The control group received conventional nursing，the experimental group received clinical nursing path.Results The bed time，hospitalization time and medical expenses of the patients in the experimental group were significantly lower than those in the control group，and there were significant differences between the experimental group and the experimental group（P0.01）.The patients in the experimental group were significantly better than those in the control group，with statistically significant difference（P0.01）.Conclusion The clinical nursing pathway in diastolic heart failure in the application effect is significant，can reduce the average length of hospital stay，improve nursing satisfaction，with reference. 　　Key words：Clinical nursing pathway；Routine nursing；Diastolic heart failure；Average length of hospital stay；Nursing satisfaction 　　舒张性心力衰竭是一种由于心室主动松弛能力受损、被动充盈或扩张能力下降导致循环淤血的独立临床症候群[1]。对舒张性心力衰竭患者施行及时、有效的护理干预，能改善舒张性心力衰竭的症状，减轻病痛的折磨，对提高护理质量意义重大。本文探讨了临床护理路径在舒张性心力衰竭中的应用效果，现报道如下。 　　1 资料与方法 　　1.1一般资料 收集我院2014年6月～2015年6月入院在心内科治疗的74例有舒张性心力衰竭症状的患者按是否愿意接受临床护理路径干预分为两组。接受临床护理路径干预的患者归为实验组，未接受的患者归为对照组，每组37例。本研究已经医学伦理部门审理并授权，且前瞻性研究于患者家属签署知情同意书后再行实施。所有患者均经临床诊断为舒张性心力衰竭[2]。其中，实验组男20例，女17例，年龄37～65岁，平均年龄（47.5±3.7）岁，糖尿病17例，高血压性心脏病9例，肥厚型心肌病7例，心内膜纤维化4例；对照组男21例，女16例，年龄35～68岁，平均年龄（46.9±4.3）岁