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目的:探讨建立个体化临床护理路径(CNP)及其在内镜下逆行胰胆管造影术(ERCP)患者中的应用效果。方法:结合ERCP术患者病情特点、护理需求,在原CNP的基础上,查找文献资料,征求消化内科医生、护理专家意见,设计标准化ERCP术CNP量表。将2015年6月至12月在深圳市第二人民医院就诊的52例ERCP术患者,将患者随机分为观察组和对照组。对照组给予常规护理,观察组实施个体化CNP。比较两组患者的满意度、疾病认知程度、住院日、住院费用、并发症发生率。结果:观察组患者满意度、疾病认知程度、住院日、住院费用、并发症发生率与对照组相比均优于对照组,差异具有统计学意义(P<0.05)。结论:对ERCP术患者实施个体化CNP,可以提高患者满意度及疾病认知程度,缩短住院日,减少住院费用,降低并发症的发生率,提高护理质量。
Objective: To explore the application of personalized clinical nursing pathway (CNP) and its application in endoscopic retrograde cholangiopancreatography (ERCP). Methods: Based on the characteristics of the ERCP patients and nursing needs, based on the original CNP, find the literature, seek advice from digestive physicians and nurses, and design standardized ERCP CNP scale. From June 2015 to December 2015, 52 cases of ERCP patients treated in Shenzhen Second People’s Hospital were randomly divided into observation group and control group. The control group was given routine care, and the observation group implemented individualized CNP. Satisfaction, disease awareness, hospitalization days, hospitalization costs and complication rates were compared between the two groups. Results: The patients in the observation group were better than the control group in satisfaction, disease awareness, hospitalization days, hospitalization costs and complication rates compared with the control group. The difference was statistically significant (P <0.05). Conclusion: The implementation of individual CNP in patients with ERCP can improve patient satisfaction and disease awareness, shorten hospital stay, reduce hospitalization costs, reduce the incidence of complications and improve the quality of care.