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目的:探讨路径化护理管理措施对慢性中耳炎手术患者护理质量以及预后的影响。方法:选取2016年1月1日-2016年10月1日在宁波市第二医院接受治疗的中耳炎手术患者200例,采用随机数表法将所有的入选患者分为两个组即观察组和对照组各100例,观察组给予路径化护理管理,对照组患者给予常规护理,比较两组患者护理后的满意度、并发症发生率、护理质量、听力情况以及手术情况。结果:护理后,观察组患者的住院时间7.12±1.12d,短于对照组患者的8.12±1.29d,住院费用11 987.12±429.78元,低于对照组的13 238.18±512.03元,健康知识掌握情况85.12±4.12分,高于对照组患者的73.59±6.23分,两组比较差异具有统计学意义(P<0.05);观察组患者的基础护理、消毒护理、技能操作以及专科护理质量都明显的高于对照组患者,两组患者比较差异具有统计学意义(P<0.05);观察组患者的听力恢复情况显著优于对照组患者,两组患者比较差异具有统计学意义(P<0.05);护理后,观察组患者并发症总发生率为9.00%低于对照组患者的34.00%,两组患者比较差异具有统计学意义(P<0.05);观察组患者护理后的满意率为95.00%高于对照组90.00%,两组比较差异具有统计学意义(P<0.05)。结论:路径化护理措施能够促进中耳炎患者早日康复,提高了护理质量和患者的满意度,缩短住院时间,降低住院费用,效果显著。
Objective: To explore the impact of pathological nursing management on the quality of care and prognosis of patients with chronic otitis media. Methods: A total of 200 patients with otitis media treated at Ningbo No.2 Hospital from January 1, 2016 to October 1, 2016 were enrolled. All patients were divided into two groups (observation group and control group) by random number table Control group of 100 cases, the observation group were given pathological care management, patients in the control group were given routine care, satisfaction with the two groups of patients after treatment, complication rates, quality of care, hearing and surgical conditions. Results: After the nursing, the length of stay in the observation group was 7.12 ± 1.12d, shorter than that of the control group, 8.12 ± 1.29d, the hospitalization cost was 11 987.12 ± 429.78yuan, lower than that of the control group of 13 238.18 ± 512.03 Yuan. 85.12 ± 4.12, which was higher than that of the control group (73.59 ± 6.23), the difference between the two groups was statistically significant (P <0.05). The patients in the observation group had significantly higher basic nursing, disinfecting nursing, skill operation and specialist nursing quality In the control group, the difference between the two groups was statistically significant (P <0.05); the hearing recovery of the observation group was significantly better than that of the control group, the difference between the two groups was statistically significant (P <0.05); nursing The total complication rate in observation group was 9.00%, which was lower than that in control group (34.00%). The difference between the two groups was statistically significant (P <0.05). The satisfaction rate of observation group was 95.00% The control group 90.00%, the difference between the two groups was statistically significant (P <0.05). Conclusion: The pathological nursing measures can promote the early recovery of patients with otitis media, improve the quality of care and patient satisfaction, reduce hospitalization time, lower hospitalization costs, the effect is significant.