目的：探讨心内科重症监护病房（CCU）护理路径对冠脉旁路移植术（CABG）患者生活质量的影响。方法：选择2012年6月至2014年6月本院 CCU 收治的128例 CABG 患者为研究对象，根据随机数字表患者被分为CCU 临床护理路径组（CCU-CNP 组）及常规护理组各64例。对比分析两组患者干预前后生活质量及疾病知识水平的变化。结果：与常规护理组比较，CCU 护理路径组干预后心绞痛稳定性分[（60.12±4.36）分比（77.36±5.46）分]、躯体受限程度[（68.02±3.98）分比（86.98±4.58）分]、心绞痛发作程度[（60.28±5.12）分比（78.47±3.45）分]、疾病认知程度[（61.89±4.36）分比（82.58±5.89）分]、治疗满意度[（63.38±5.23）分比（83.92±6.21）分]等评分均显著升高（P ＜0.05或＜0.01）；入住 CCU 时间[（6.98±1.32）d 比（3.32±1.22）d]、平均住院时间[（12.87±2.66）d 比（6.36±2.45）d]显著缩短，不良心脏事件发生率（14.06％比3.13％）显著降低（P ＜0.05或＜0.01）。结论：CCU 护理路径能有效提高 CABG 患者疾病知识及生活质量，降低患者不良心脏事件发生率，缩短患者入住 CCU 时间，改善患者预后。%Objective:To explore influence of critical care unit (CCU)clinical nursing pathway (CCU-CNP)in de-partment of cardiology on quality of life in patients undergoing coronary artery bypass grafting (CABG).Methods:A total of 128 patients undergoing CABG,who hospitalized in our CCU from Jun 2012 to Jun 2014,were selected. According to random number table,patients were equally divided into CCU-CNP group and routine nursing group. Changes of quality of life and disease knowledge level were compared and analyzed between two groups before and after intervention.Results:Compared with routine nursing group,after intervention,there were significant rise in scores of anginal stability [(60.12±4.36)scores vs.(77.36±5.46)scores],physical limitation [(68.02±3.98) scores vs.(86.98±4.58)scores],anginal frequency [(60.28±5.12)scores vs.(78.47±3.45)scores],disease per-ception [(61.89±4.36)scores vs.(82.58±5.89)scores]and treatment satisfaction [(63.38±5.23)scores vs. (83.92±6.21)scores],P <0.05 or <0.01;and significant reductions in CCU time [(6.98±1.32)d vs.(3.32± 1.22)d],mean hospitalization time [(12.87±2.66)d vs.(6.36±2.45)d]and incidence rate of adverse cardiac events (14.06% vs.3.13%)in CCU-CNP group,P <0.05 or <0.01. Conclusion:CCU clinical nursing pathway can effectively raise disease knowledge and quality of life,reduce the incidence of adverse cardiac events,shorten CCU time and improve patient′s prognosis in CABG patients.
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