摘要
目的探讨临床路径护理干预对输入性恶性疟疾患者的护理效果影响。方法选取2010年2月-2014年12月本院收治的输入性恶性疟疾患者60例,根据入院日期单双日分为对照组（n=28）及观察组（n=32）。对照组患者采用常规模式护理。观察组实施临床路径护理。比较两组护理质量,并观察两组患者并发症发生率、治愈率、住院天数及随访复发率,同时开展护理质量满意度问卷调查并予以相应评分。结果观察组和对照组的护理质量评分、护理优良率、护理满意度评分及治愈率分别为（90.2±5.5）、87.50%（28/32）、（85.2±5.4）、93.8%（30/32）和（77.4±5.4）、64.29%（18/28）、（78.7±6.6）、75.00%（21/28）,差异有统计学意义（P〈0.05）。观察组输入性恶性疟疾患者并发症发生率为21.88%（7/32）,住院天数为（8.4±2.1）d,均低于对照组（46.43%）和（14.1±3.8）d,差异均有统计学意义（P〈0.05）;对照组患者随访复发率为7.14%,观察组为0%,差异无统计学意义（P〈0.05）。结论临床路径护理能够提高护理质量,在输入性恶性疟疾患者护理工作中应使用该护理模式,以提高治疗效果,改善预后。
Objective To investigate the effectiveness of care in clinical pathways for patients with imported falciparum malaria. Methods Subjects were 60 patients with imported falciparum malaria who were treated at this Hospital.Patients treated from February 2010 to December 2014 were divided into a control group（n=26）and an observation group（n=34）based on the date of admission（odd vs.even-numbered days）.Patients in the control group received routine care and patients in the observation group received care in clinical pathways.The groups were compared in terms of the quality of care,cure rate,incidence of complications,rate of recurrence rate,and duration of hospitalization.Patients were surveyed regarding their satisfaction with the quality of care and their responses were scored. Results The observation group had higher scores for the quality of care（90.2±5.5）,they rated of care as good or exceptional at a higher rate（87.5%,28/32）,they had higher scores for satisfaction with care（85.2±5.4）,and they had a higher cure rate（93.8%,30/32）in comparison to the control group{77.4±5.4,64.3%（18/28）,78.7±6.6,and 75%（21/28）}.The observation group had a lower incidence of complications{21.9%（7/32）vs.46.4%（13/28）}and shorter duration of hospitalization{8.4±2.1vs.14.1±3.8}than the control group.There was statistically significant differences between the two groups（P0.05）.Differences in the rate of recurrence for the two groups were not significant{7.1%（2/28）vs.0%（0/32）,（P0.05）}. Conclusion Care in clinical pathways has the potential to improve the quality of care.Use of care in clinical pathways can effectively improve treatment results and improve the prognosis for patients with imported falciparum malaria.
出处
《中国病原生物学杂志》
CSCD
北大核心
2015年第7期652-654,共3页
Journal of Pathogen Biology
关键词
临床路径
输入性恶性疟疾
护理
Clinical pathway
imported falciparum malaria
care
