临床路径在慢性硬脑膜下血肿患者护理中应用分析.docVIP

临床路径在慢性硬脑膜下血肿患者护理中的应用分析 　　 　　[摘要] 目的 探讨临床路径护理在慢性硬脑膜下血肿患者中的应用效果。 方法 选取2012年11月～2013年4月本院神经外科收治的30例慢性硬脑膜下血肿患者为观察组，采用临床路径护理；选取2012年4月～2012年9月收治的30例慢性硬脑膜下血肿患者为对照组，采用常规护理，比较两组患者的护理效果。 结果 观察组的平均住院日短于对照组，住院费用低于对照组，活动能力评分、患者满意度和健康知识评分高于对照组，差异有统计学意义（P＜0.05）。 结论 临床路径护理应用于慢性硬脑膜下血肿患者中可以有效地缩短患者住院时间、降低住院费用、提高患者满意度。 　　[关键词] 临床路径；硬脑膜下血肿；护理效果 　　[中图分类号] R473.74[文献标识码] B[文章编号] 1674-4721（2014）05（a）-0096-02 　　 　　Application analysis of clinical pathway in nursing of patients with chronic subdural hematoma 　　ZHOU Hong-xi 　　Department of Neurosurgery,the First People′s Hospital of Changde City in Hunan Province,Changde 415000,China 　　[Abstract] Objective To explore the application effect of clinical pathway nursing in patients with chronic subdural hematoma. Methods 30 cases of patients with chronic subdural hematoma from November 2012 to April 2013 in neurosurgery department of our hospital were selected as observation group,clinical path nursing was used in observation group.30 cases of patients with chronic subdural hematoma from April 2012 to September 2012 were selected as control group,routine nursing care was used in control group.Nursing effect in two groups was compared. Results The average days of hospitalization in observation group was shorter than that in control group,hospitalization cost was lower than that in control group,activity rating scale,the satisfaction of patient and health knowledge score in observation group was higher than that in control group respectively,with statistical difference(P＜0.05). Conclusion Clinical path nursing applied in patient with chronic subdural hematoma can effectively shorten hospitalization time of patient,reduce hospitalization cost,improve satisfaction of patient. 　　[Key words] Clinical path;Subdural hematoma;Nursing effect 　　临床路径是指对某一病种建立的一个标准化治疗模式和程序[1]，对整个治疗的工作流程和时间有严格的规定，最终起到规范医疗行为、减少医疗资源浪费和康复延迟的作用，使患者获得良好的医疗护理服务[2]。本文主要探讨临床路径护理在慢性硬脑膜下血肿患者中的应用效果。 　　1 资料与方法 　　1.1 一般资料 　　选取2012年11月～2013年4月收治的30例慢性硬脑膜下血肿患者为观察组，其中男18例，女1