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目的:探讨临床护理路径管理在肾内科慢性肾衰患者护理中的应用效果。方法:以2014年4月~2015年4月在宁波大学医学院附属医院治疗的80例慢性肾衰竭腹膜透析患者为研究对象,根据护理方式不同进行分组。实施常规护理者设为对照组,实施临床护理路径管理者设为观察组,比较两组的健康意识程度、住院情况、对护理服务满意度,以及临床转归状况和患者护理前后生活质量的改善情况。结果:观察组的健康意识程度评分为(92.43±31.43)分,护理满意度为87.50%,依从性为90.00%;对照组患者的健康意识程度评分为(74.43±25.43)分,护理满意度为62.50%,依从性为67.50%,观察组优于对照组(P<0.05)。另外,观察组各项生活质量评价指标均显著高于对照组(P<0.05)。结论:在肾内科肾衰患者临床护理中应用临床护理路径模式,能够显著提高患者对健康的认知程度、治疗依从性和护理满意度,提高临床治疗效果和护理服务质量。
Objective: To explore the application of clinical nursing path management in the nursing of patients with chronic renal failure in the department of nephrology. Methods: From April 2014 to April 2015, 80 patients with chronic renal failure peritoneal dialysis treated by Affiliated Hospital of Ningbo University Medical College were divided into groups according to different nursing methods. The implementation of routine care as a control group, the implementation of clinical nursing path management as the observation group, compared the two groups of awareness of health awareness, hospitalization, care satisfaction, and clinical outcomes and quality of life before and after care Happening. Results: The score of health awareness in the observation group was (92.43 ± 31.43) points, the nursing satisfaction was 87.50% and the compliance was 90.00%. The score of health awareness in the control group was (74.43 ± 25.43) points, the nursing satisfaction was 62.50%, compliance was 67.50%, the observation group was better than the control group (P <0.05). In addition, the quality of life in the observation group evaluation index were significantly higher than the control group (P <0.05). Conclusion: Applying the clinical nursing pathway model in the clinical nursing of nephrology patients with renal failure can significantly improve the patients’ cognition of health, treatment compliance and nursing satisfaction, and improve the clinical curative effect and nursing service quality.