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目的探讨分析重型颅脑损伤术后康复患护理中的临床护理路径管理的临床效果和临床价值。方法2013年1月至2015年12月在神经外科进行重型颅脑损伤术的110例患者,随机分为对照组和观察组,每组55例,对照组给予常规的术后护理,观察组在常规护理的基础上实施临床护理路径管理,对比两组患者的出院时间、住院费用、并发症发生率、再手术率、再入院率及患者满意度。结果观察组患者住院时间短于对照组,住院费用少于对照组,差异均有统计学意义(P均<0.05);观察组患者的满意度(94.55%)显著高于对照组(61.82%),差异有统计学意义(P<0.01);观察组患者的并发症发生率、再手术率、再入院率显著低于对照组,差异均有统计学意义(P<0.05,P<0.01);术后康复第2周、第4周、第8周、第12周的生活质量评分观察组显著高于对照组,差异均有统计学意义(P均<0.05)。结论在神经外科重型颅脑损伤术后康复患者护理中实施临床护理路径管理可以有效缩短住院时间,减少住院费用,降低并发症发生率、再手术率、再入院率,提高生活质量和患者满意度。
Objective To investigate the clinical effect and clinical value of clinical nursing path management in rehabilitation of patients with severe craniocerebral injury. Methods From January 2013 to December 2015, 110 patients with severe craniocerebral injury in neurosurgery were randomly divided into control group and observation group, with 55 cases in each group. The control group was given routine postoperative nursing. The observation group was On the basis of routine nursing, clinical nursing path management was implemented. The discharge time, hospitalization expense, complication rate, reoperation rate, readmission rate and patient satisfaction were compared between the two groups. Results The length of stay in observation group was shorter than that in control group, and the cost of hospitalization was less than that in control group (P <0.05). The satisfaction of patients in observation group (94.55%) was significantly higher than that of control group (61.82%), , The difference was statistically significant (P <0.01). Complication rate, reoperation rate and readmission rate in observation group were significantly lower than those in control group (P <0.05, P <0.01). The QOL scores of the 2nd, 4th, 8th and 12th weeks postoperative rehabilitation were significantly higher in the observation group than in the control group (all P <0.05). Conclusion The implementation of clinical nursing pathway management in patients with rehabilitation of patients with severe traumatic brain injury after neurosurgery can effectively reduce hospitalization time, reduce hospitalization costs, reduce the incidence of complications, reoperation rate, readmission rate, quality of life and patient satisfaction .