临床护理路径在无痛内镜诊疗患者中效果评价.doc

临床护理路径在无痛内镜诊疗患者中的效果评价 　　[摘要]目的 研究临床护理路径在无痛内镜诊疗患者中的效果。方法 选取2014年2月～2014年10月在我院接诊的80例进行无痛内镜诊疗的患者作为研究对象，根据其不同的护理模式，将其分为对照组、研究组，每组40例。对照组患者进行常规的护理，研究组患者在对照组患者的基础上采用临床护理路径，检测并记录两组患者诊疗前后的收缩压以及心率等生命体征、两组患者护理满意度、不良反应的发生情况以及跌倒率等，并对其结果进行比较分析。结果 在诊疗前，两组患者的收缩压以及心率差异无统计学意义（P0.05），与诊疗前比较，研究组患者的收缩压显著增高，差异有统计学意义（P0.05），对照组患者的收缩压诊疗前后无明显变化（P0.05），心率显著增快，差异有统计学意义（P0.05）；诊疗后，研究组患者的收缩压高于对照组、心率慢于对照组，差异有统计学意义（P0.05）。研究组患者的护理总满意率显著高于对照组，差异有统计学意义（P0.05），研究组患者的不良反应总发生率为7.5%，跌倒率为2.5%，显著低于对照组，差异有统计学意义（P0.05）。结论 临床护理路径可以显著降低无痛内镜诊疗后患者的跌倒率，有利于诊疗的顺利进行，具有临床应用价值。 　　[关键词]临床护理路径；无痛内镜诊疗；跌倒 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2018）1（a）-0183-03 　　[Abstract]Objective To study the effects of clinical nursing pathway in painless endoscopic diagnosis and treatment. Methods 80 patients who conducted painless endoscopic diagnosis from February 2014 to October 2014 of our hospital were selected as objects.Patients were divided into two groups according to different nursing mode，and each group was 40 cases. Patients in control group were given routine nursing，and patients in study group were given clinical nursing pathway on the basis of control group.Vital signs liked systolic pressure and heart rate， patient care satisfaction，occurrence situation of adverse effects and fall rate in two groups before and after treatment were detected and accounted，and the results were analyzed and compared.Results Before treatment，the difference of systolic pressure and heart rate between two groups were not obvious，and the difference had no statistical significance （P0.05）；the heart rate is unchanged （P0.05）.After treatment，the systolic pressure and heart rate in study group had obvious difference compared with control group （P0.05）.The total care satisfaction in study group，obvious higher than that was in control group，and the difference was statistical significance （P0.05）.The total incidence rate of adverse effects and fall rate in study group were respectively 7.5% and 2.5%，which had significant difference com