临床路径在新生儿溶血病护理中应用效果.docVIP

临床路径在新生儿溶血病护理中的应用效果 　　[摘要] 目的 探讨临床路径在新生儿溶血病中的护理效果。 方法 选择54例新生儿溶血病患者为研究对象，入选时间为2015年6月～2017年6月。入选患者被实施分组研究，分为临床路径组（n=27）与常规护理组（n=27）。其中常规护理组给予常规护理，临床路径组给予临床路径下的护理干预。对两组患者的临床护理质量、接受光疗的时间、平均住院时间、住院费用及患儿家长对护理工作的满意率进行评估，并进行比较。 结果 在护理质量评估方面，临床路径组的健康教育、消毒隔离、药物管理、危重护理、病区环境、基础护理评分均显著高于常规护理组（P0.05）。临床路径组的平均接受光疗的时间、住院时间与住院费用均显著短于或者低于常规护理组（P0.05）。临床路径组患儿家长对护理工作的满意率为96.30%，显著高于常规护理组的81.48%（P0.05）。 结论 临床路径应用于新生儿溶血病的临床护理之中效果确切，可以更好的提高护理质量，促进患儿的康复，提高患儿家长的护理满意度，并减轻其经济负担。 　　[关键词] 新生儿；溶血病；临床路径；护理 　　[中图分类号] R473.72 [文献标识码] B [文章编号] 1673-9701（2017）34-0148-03 　　Application of clinical pathway in the nursing of neonatal hemolytic disease 　　ZHU Li 　　Department of Neonatology， Jingdezhen Maternal and Child Health Hospital in Jiangxi Province， Jingdezhen 333000， China 　　[Abstract] Objective To explore the nursing effect of clinical pathway in neonatal hemolytic disease. Methods A total of 54 cases of neonatal hemolytic disease from June 2015 to June 2017 were included in the study. Patients were divided into clinical pathway group （n=27） and routine nursing group （n=27）. Among them， the routine nursing group was given routine care， and the clinical pathway group was given nursing intervention under the clinical pathway. The quality of clinical nursing and the time of receiving phototherapy， the average length of stay and hospital costs， and the satisfaction rate of parents with nursing care in two groups of patients were evaluated and compared. Results In the evaluation of nursing quality， the health education， disinfection and isolation， drug management， critical care， ward environment， basic nursing and scoring in the clinical pathway group were significantly higher than those in the routine nursing group（P0.05）. The average time of phototherapy， hospitalization time and hospitalization costs in clinical pathway group were significantly shorter or lower than those in routine nursing group（P0.05）. The satisfaction rate of nursing parents in clinical pathway group was 96.30%， which w