摘要
目的通过对比常规护理路径和构建的临床护理路径在重度颅脑损伤中的应用效果,分析临床护理路径的临床应用价值.方法：选取2014年1月～2015年1月期间在我院治疗的重度颅脑损伤患者65例作为研究对象,根据患者入院的先后顺序分为实验组和对照组.对照组患者采取常规护理路径,实验组患者采取构建的临床护理路径,观察并对比两组患者的病死率、并发症发生情况、入院前急救时间、入院至检查时间、检查时间以及检查完成至住院时间等.结果：实验组患者的病死率为5.7%,尿路感染的发生率为8.6%,肺部感染的发生率为2.9%;对照组患者的病死率为20.0%,尿路感染的发生率为31.4%,肺部感染的发生率为33.3%,两组患者的病死率、尿路感染以及肺部感染等比较差异明显,均具有统计学意义（P〈0.05）.实验组患者的入院前急救时间和入院至检查时间明显小于对照组患者,差异具有统计学意义（P〈0.05）;两组患者的检查时间和检查完成至住院时间比较无明显差异（P〉0.05）.结论：临床护理路径在重度颅脑损伤中应用效果显著,降低病死率,具有一定的临床价值.
Objective: To compare routine care paths and clinical nursing path built application results in severe brain injury,clinical application of clinical nursing path. Methods:In my patients hospitalized with severe head injury in 65 cases for the study,according to the order of admission into experimental and control groups in January 2014 to January 2015 period.The control group of patients taking usual care path,the experimental group were taken to the clinical care path constructed and compared two groups of patients observed mortality,complications,the prehospital emergency time,admission to the examination time,check the time and the check is completed to hospital time.Results:The mortality rate of patients in the experimental group was 5.7%, the occurrence of urinary tract infection was 8.6%, pulmonary infection was 2.9%; control group mortality rate was 20.0% of patients, the incidence of urinary tract infections 31.4 % incidence of pulmonary infection was 33.3%, the difference mortality, urinary tract infections and lung infections in patients with significant groups, were statistically significant(P<0.05).The experimental group of patients before admission to the emergency hospitalization time and checking time was significantly less than the control group of patients, the difference was statistically significant(P<0.05); the two groups of patients with complete examination to check the time and length of hospital stay was no significant difference(P>0.05 ).Conclusion:The clinical nursing pathway in severe brain injury apply significant effect, reducing mortality has some clinical value.
出处
《中国医药导刊》
2016年第2期199-200,205,共3页
Chinese Journal of Medicinal Guide
关键词
临床护理路径
重度脑损伤
常规护理
临床价值
Clinical nursing path
Severe brain injury
Routine care
Clinical value
