中医护理路径在不稳定性心绞痛患者中的应用

摘要

Objective To explore the application effect of Traditional Chinese Medicine TCM nursing pathway in unstable angina pectoris patients.Methods Totals of 148 patients with unstable angina pectoris were randomly divided into pathway group and control group,with 74 cases each group.During the operation,traditional care was adopted in control group and the nursing pathway with TCM methods was adopted in pathway group.The disease recognition level,self-protection awareness,treatment compliance,nursing satisfaction level,average hospital days,average hospital charges between the two groups when they discharged from the hospital were compared.Results The disease recognition level,self-protection awareness,treatment compliance of the pathway group were significantly higher than that of the control group[ (91.34 ±5.72) vs (73.54±7.86),(84.19±5.04) vs (67.84 ±8.27),(92.12 ±4.46) vs (78.36 ±5.43)](t =15.744,14.523,16.849,respectively; P ＜ 0.05 ).The nursing satisfaction level of the pathway group was 95.9％ significantly higher than 82.4％ that of the control group ( x2 =- 10.674,P ＜ 0.05 ).The average hospital days and average hospital charges in the pathway group were ( 15.24 ± 2.73 ) days and ( 5 268.65 ± 764.09 ) significantly lower than ( 24.53 ± 5.12 ) days and ( 8 358.11 ± 1537.12) that in the control group (t =- 13.757,- 15.485,respectively; P ＜ 0.05 ).Conclusions Implementing the nursing pathway of TCM can increase patients' disease recognition level,enhance their self-protection awareness,improve their treatment compliance and nursing satisfaction level,and short the hospital days and reduce the hospital charges.%目的 探讨中医护理路径在不稳定型心绞痛患者中的应用效果.方法 将148例不稳定型心绞痛患者按随机数字表法分为路径组和对照组各74例,对照组给予常规护理方法,路径组按中医护理路径实施诊疗护理,比较两组患者出院时的疾病认知程度、自我防护意识、治疗依从性、护理满意度、平均住院天数、平均住院费用等情况.结果 路径组患者疾病认知得分(91.34±5.72)分、自我防护意识(84.19±5.04)分、治疗依从性(92.12±4.46)分,均高于对照组(73.54±7.86)分、(67.84±8.27)分、(78.36±5.43)分,差异有统计学意义(t分别为15.744,14.523,16.849;P ＜0.05)；路径组患者对护理工作的满意度为95.9％高于对照组82.4,两组比较差异有统计学意义(x2=10.674,P＜0.05)；路径组患者平均住院天数(15.24±2.73)d、平均住院费用(5268.65±764.09)元,低于对照组(24.53±5.12)d、(8358.11±1537.12)元,两组比较差异有统计学意义(t=-13.757,- 15.485；P＜0.05).结论 中医护理路径可提高不稳定型心绞痛患者的疾病认知程度,增强自我防护意识,改善治疗依从性,提高护理满意度,缩短住院天数,降低住院费用.