摘要
目的探究小儿肺炎患者开展临床路径护理模式的临床效果，并为该病的临床护理积累经验。方法选取2010年2月—2013年3月收治的92例小儿肺炎患者，利用随机数字表法分为研究组和对照组，每组各46例。其中对照组实施常规护理模式，研究组实施临床路径护理。比较两组患者预后康复、护理满意度及并发症情况。结果研究组咳嗽消失时间、湿哕音消失时间、退热时间分别为（3．5±0．9），（3．9±1．1），（2．5±0．6）d，均优于对照组的（5．8±1．2），（6．3±1．4），（3．7±1．1）d，差异有统计学意义（t值分别为6．397，5．084，7．321；P〈0．05）。研究组治疗有效率为91．3％，高于对照组的84．8％，差异有统计学意义（x2=8．985，P〈0．05）。研究组发生恶心2例，皮疹3例，脓胸0例，胸膜炎0例，对照组发生恶心5例，皮疹5例，脓胸3例，胸膜炎2例，研究组优于对照组，差异有统计学意义（x2=5．083，P〈0．05）。研究组非常满意、满意、不满意例数分别为32，13，1例，对照组分别为15，19，12例，研究组优于对照组，差异有统计学意义（Z=8．869，P〈0．05）。结论临床路径护理模式可提高小儿肺炎的预后效果及家属满意度，并降低并发症发生率。
Objective To explore the clinical effect of clinical pathway nursing mode in pediatric patients with pneumonia. Methods A total of 92 cases of infantile pneumonia were selected in our hospital from February, 2010 to March, 2013. Using the method of random digits table, patients were divided into the study group and the control group, with 46 cases each. The control group received routine nursing mode, while the study group received clinical nursing pathway. The prognosis rehabilitation, nursing satisfaction and complications were compared between groups. Results In the study group, the disappearance time of cough, moist tale and fever gone was （3.5 ± 0.9） days, （ 3.9 ± 1.1 ） days and （ 2.5 ±0. 6） days, respectively, which was significantly shorter than （5.8 ±1.2） days, （ 6.3 ± 1.4） days and （ 3.7 ± 1.1 ） days in the control group （t = 6. 397,5. 084,7. 321, respectively; P 〈 0. 05）. The effective rate in the study group was 91.3%, significantly higher than 84.8% in the control group （ X2 = 8. 985 ,P 〈 0. 05 ）. In the study group, 2 patients had nausea, and 2 patients had rash, and no patients had empyema or pleurisy. In the control group, 5 patients had nausea, and 5 patients had rash, and 3 patients had empyema, and 2 patients had pleurisy. The incidence of complications had significant differences （ X2 = 5. 083 ,P 〈 0. 05 ）. In the study group, 32 patients were quite satisfied with the nursing care, 13 patients were almost satisfied, and 1 patient was unsatisfied. While in the control group, 15 patients were quite satisfied with the nursing care, 19 patients were almost satisfied, and 12 patients were unsatisfied. The differences were significant （ Z = 8. 869, P 〈 0. 05 ）. Conclusions The clinical pathway nursing mode can improve the prognosis of pneumonia in children, and increase the satisfaction of nursing care, as well as reducing the incidence of complications, so it is worthy of further promotion.
出处
《中华现代护理杂志》
2014年第14期1686-1688,共3页
Chinese Journal of Modern Nursing
关键词
肺炎
临床路径
预后
满意度
并发症
Pneumonia
Clinical pathway
Prognosis
Satisfaction
Complications
