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1、临床护理路径在上消化道出血护理中的应用王芳1薛灵敏2【摘要】目的探讨临床护理路径在上消化道出血患者中的应用效果。方法选取2015年1月-2015年12月医院收治128例上消化道出血患者作为研究对象,按照随机的方法将患者分成两组,观察者和对照组各64例,对照组应用常规护理,观察者应用临床护理路径进行护理。分析比较两组患者的住院天数、对疾病知识的掌握程度及护理满意度。结果观察组对疾病知识的掌握程度明显高于对照组,两组间差异具有统计学意义(P<0.05);观察组患者的满意度为96.87%,对照组为78.12%,观察组的满意度明显高于对照组,且两组之
2、间差异显著,具有统计学意义(P<0.05);观察组有效率为92.19%,对照组为75.00%,观察组的有效率明显高于对照组,且两组之间差异具有统计学意义(P<0.05)。结论临床护理路径应用于消化道出血患者中的护理,能提高患者对疾病知识的掌握程度,有效提高护理质量及疾病治疗效果,值得临床护理中推广应用。【关键词】临床护理路径;上消化道出血;护理效果【Abstract】ObjectiveToexploretheclinicalnursingpathwayinthetreatmentofuppergastrointestinalbleedinginpa
3、tientswiththeapplicationoftheeffect.MethodsselectJanuary2015201512monthsinhospitalsfrom128casesofuppergastrointestinalbleedingpatientsastheresearchobject,accordingtothemethodofrandomthepatientsweredividedintotwogroupswereobservedandcontrolgroup,64cases,giventothecontrolgroupre
4、ceivedtheroutinenursingcareobserved.Accordingtopatient’sclinicalnursingpathwayinnursing.Thelengthofhospitalstay,thedegreeofknowledgeofthediseaseandthenursingsatisfactionofthetwogroupswereanalyzedandcompared.Result:Theobservationgroupwassignificantlyhigherthanthecontrolgroup,th
5、edifferencebetweenthetwogroupswasstatisticallysignificant(P<0.05);Thesatisfactionoftheobservationgroupwas96.87%,thecontrolgroupwas78.12%,theobservationgroupwassignificantlyhigherthanthecontrolgroup,andthedifferencebetweenthetwogroupswassignificant,withstatisticalsignificanc
6、e(P<0.05);Theeffectiverateoftheobservationgroupwas92.19%,thecontrolgroupwas75%,theobservationgroupwassignificantlyhigherthanthecontrolgroup,andthedifferencebetweenthetwogroupswasstatisticallysignificant(P<0.05)。ConclusionTheapplicationofclinicalnursingpathwayinnursingofp
7、atientswithgastrointestinalbleeding,canimprovethepatient'smasteryofdiseaseknowledge,improvethequalityofnursinganddiseasetreatmenteffect,itisworthyofpopularizationandapplicationinclinicalnursing。[Keywords]clinicalnursingpath;uppergastrointestinalbleeding;nursingeffect.上消化道出血是一类
8、临床病症,主要有胃、十二指肠出现溃疡或是穿孔[1]。消化道出血的主要临床特征是上腹或胸肋部出现疼痛,呕吐物中带血,出现黑便