临床护理路径在上消化道出血护理中的应用

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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