图文式临床护理路径在慢性化脓性中耳炎患者围手术期的应用效果分析

摘要

Objective To investigate the applied research of graphic type clinical nursing path to patients with chronic suppurative otitis media, in order to provide reference for the specification of chronic suppurative otitis media clinical care. Methods 100 cases of patients with chronic suppurative otitis media received surgery on our hospital from June 2012 to April 2016 were selected and divided into experimental group (n=52) and control group (n=48). Patients on control group received routine care, and experimental group received graphic type clinical nursing path, the preoperative hospital stay, hospital stay, medical expenses, postoperative complications were recorded and compared between the two groups. The knowing about disease, nursing satisfaction and nursing quality of were compared between the two groups. Results Compared with the control group, the preoperative hospital stay, hospital stay of experimental group were significantly shorten, medical expenses of experimental group were reduce (P<0.05); The incidence of postoperative complications of experimental group were significantly higher than that of control group (P<0.05); The knowi ng about disease, nursing satisfaction of experimental group were significantly higher than that of control group (P<0.05); The nursing quality score of experimental group were significantly higher than that of control group (P<0.05). Conclusion Graphic type clinical nursing path applied on patients with chronic suppurative otitis media can significantly shorten hospital stay, reduce postoperative complications, can help standardize the care of disease, improve nursing satisfaction, and improve the overall quality of care.%目的：探讨图文式临床护理路径在慢性化脓性中耳炎患者围手术期的应用效果，以期为规范慢性化脓性中耳炎临床护理工作提供参考依据。方法选取2012年6月~2016年4月在我院耳鼻喉科行手术治疗的慢性化脓性中耳炎患者100例，根据患者入院时间分为实验组（n=52）和对照组（n=48）。对照组予以常规护理，实验组实施图文式临床护理路径，比较两组术前占床日、住院时间、医疗费用、术后并发症发生情况，同时评价护理质量及患者对疾病相关知识的认知程度和对护理的满意度。结果与对照组患者比较，实验组患者术前占床日、住院时间均明显缩短，医疗费用明显减少，差异均具有统计学意义（P＜0.05）；实验组患者手术并发症发生率明显高于对照组患者，差异具有统计学意义（P＜0.05）；实验组患者疾病知识知晓率、护理满意度均明显高于对照组患者，差异具有统计学意义（P＜0.05）；实验组护理质量评分明显高于对照组，差异具有统计学意义（P＜0.05）。结论实施图文式临床护理路径可显著缩短患者住院时间，降低术后并发症的发生率，利于疾病的规范性护理，有效提高患者对护理工作的满意度，提高整体护理质量。