摘要
目的探讨体外循环下冠状动脉搭桥术(CABG)围术期临床护理路径(CABG-CNP)的实施效果。方法将87例CABG患者按照入院时间随机分为对照组(44例)和实验组(43例)。对照组给予常规CABG围术期护理,实验组按自行编制的CABG-CNP文本实施护理。以分级护理与护理文件书写质量、Barthel指数、患者对护理工作满意度、治愈率、并发症发生率、住院日和住院费用为评价指标,对CABG-CNP的实施效果进行评价。结果实验组分级护理与护理文件书写质量、患者出院时Barthel指数得分、患者对护理整体满意度、总住院日和围术期各时间段住院日及总住院费用、手术前期费用和手术后期病室费用显著优于对照组(P<0.05,P<0.01);两组患者治愈率和术后并发症发生率比较,差异无统计学意义(均P>0.05)。结论实施CABG-CNP可提升围术期护理质量,促进患者康复,提高患者对护理工作的满意度,缩短住院日,减少患者的住院费用。在当前医疗形势下开展CNP模式具有较强的操作性和实用性,有助于充分体现护理专业的特色。
Objective To explore the effect of self-designed CABG-CNP. Methods A total of 87 patients underwent CABG were randomly divided into a control group（44 cases） and an experimental group（43 cases）. Patients in the control group were given conventional CABG perioperative nursing care, while their counterparts in the experimental group were adopted CABG-CNP to perform perioperative nursing care. Evaluation indexes of clinical nursing quality such as grading nursing and documentation, patients＇ Barthel Index（BI）, patient satisfaction to nursing care, cure rate, incidence rate of complication, length of hospital stay and the expense were collected. Results The quality of grading nursing and documentation, the scores of BI when discharge, patient satisfaction, length of hospital stay, total hospitalization expense, and preoperative, postoperative expense in ward in the experimental group were superior to those in the control group（P〈0.05 ,P〈0. 01） ; the cure rate and incidence rate of complications showed no significant differences between the two groups（P〈0.05 for both）. Conclusion Application of the CABG-CNP can improve clinical nursing quality, promote patients＇ rehabilitation and satisfaction to nursing care, shorten length of hospital stay and decrease hospitalization expense.
关键词
冠心病
冠状动脉搭桥术
围术期
临床护理路径
护理
coronary artery disease
coronary artery bypass grafting
perioperative stage
clinical nursing path
nursing
