临床护理路径在创伤性蛛网膜下腔出血腰大池持续引流患者中的应用

摘要

目的：探讨在创伤性蛛网膜下腔出血腰大池持续引流患者中实施临床护理路径的可行性及效果。方法选择2010年10月~2014年10月创伤性蛛网膜下腔出血腰大池持续引流的患者120例,随机分为观察组(60例)和对照组(60例)。观察组采用临床护理路径方法,对照组采用传统护理方法。比较两组患者并发症发生情况、健康教育有效率及护理满意度。结果观察组并发症发生率为8.3%,对照组并发症发生率为28.3%,两组比较差异有统计学意义(字2=8.015,P<0.05)；观察组健康教育有效率为91.7%,对照组健康教育有效率为68.3%,两组比较差异有统计学意义(字2=10.208,P<0.05)；观察组护理满意率为93.3%,对照组护理满意率为75.0%,两组比较差异有统计学意义(字2=7.566,P<0.05)。结论临床护理路径有助于减少创伤性蛛网膜下腔出血腰大池持续引流患者的并发症发生率,增强患者对健康知识掌握情况及提高患者对护理的满意度。%Objective To explore the efficacy of application of clinical nursing pathway on traumatic subarachnoid hemorrhage patients undergoing with lumbar continuous drainage of cerebrospinal fluid. Methods From October 2010 to October 2012, in Zhejiang Xiaoshan Hospital, 120 patients with traumatic subarachnoid hemorrhage and given lum-bar continuous drainage of cerebrospinal fluid were selected and divided into the observation group (60 cases) and the control group (60 cases) randomly. Patients in observation group were given care according to clinical nursing path, and patients in control group were given nursing care based on traditional nursing flow-sheet. The incident rate of compli-cation, effectively of health education and nursing satisfaction between the two groups were compared. Results The in-cident rate of complication in observation group was 8.3%, that in control group was 28.3%, those in two groups were compared, the difference was statistically significant (χ²=8.015, P<0.01);the effectively of health education in obser-vation group was 91.7%, in control group was 68.3%, those in two groups were compared, the difference was statistical-ly significant (χ²=10.208, P<0.05);the nursing satisfaction in observation group was 93.3%, that in control group was 75.0%, those in two groups were compared, the difference was statistically significant (χ²=7.566, P<0.05). Conclusion Applying clinical nursing path for patients with lumbar continuous drainage of cerebrospinal fluid on traumatic sub-arachnoid hemorrhage, help to reduce the occurrence of complication, enhancement of satisfaction degree of patients and mastering of health knowledge of patients.