临床护理路径在血管性痴呆患者护理中的应用与效果评价

摘要

目的 观察临床护理路径(CNP)在血管性痴呆(VD)患者护理中的应用与效果.方法 选择87例VD患者,随机分为对照组43例和CNP组44例.常规组采用脑复康、银杏片、疏血通等常规治疗和常规护理,CNP组在上述常规方法治疗的基础上,改用CNP模式.以简易智能状态检查量表(MMSE)、日常生活能力量表(ADL)、老年痴呆患者生活质量量表(QOL-AD)、神经精神科问卷(NPI)、总体衰退量表(GDS)等评分以及平均住院日、平均住院费用及满意度作为主要评价指标,评价护理效果.结果 CNP用于治疗VD患者2个月后,CNP组患者MMSE、ADL、QOL-AD、NPI、GDS的评分优于对照组,差异有统计学意义(P＜0.05).CNP组患者平均住院天数、平均住院费用及满意度优于对照组,差异有统计学意义(P＜0.05).结论 CNP应用于VD患者的治疗,可明显改善老年患者的认知能力、精神行为症状、生活质量,能减少住院天数,降低住院费用,提高服务满意度.%Objectives To evaluate the application of clinical nursing pathway ( CNP ) in treatment of vascular dementia ( VD ) and its curative effects. Methods A total of 87 VD cases were randomly divided into groups control ( 43 cases, receiving conventional therapy with piracetam, ginkgo tablets and Shuxuetong ) and CNP ( 44 cases, given extra CNP based on the above conventional therapy ). The nursing effects were evaluated with indexes such as Mini Mental State Examination ( MMSE ), activities of daily living ( ADL ), Alzheimer's patients quality of life scale ( QOL - AD ), neuropsychiatric inventory ( NPI ), global deterioration scale ( GDS ) and average hospital stay, average hospital fees and degree of satisfaction. Results After 2 months of treatment, the scores of MMSE, ADL, QOL-AD, NPI, GDS were better in CNP group than in control, the difference was significant ( P < 0. 05 ), and average hospital stay, average hospital fees and degree of satisfaction better, the difference was significant ( P <0. 05 ). Conclusion CNP used in VD treatment can obviously improve cognitive ability, behavioral and psychological symptoms, quality of life, reduce length of hospital stay and hospital fees, and improve degree of service satisfaction.