摘要
目的探讨临床护理路径在艾滋病合并肺孢子菌肺炎护理中的应用效果。方法选取2014年1月至2015年5月收治的艾滋病合并肺孢子菌肺炎患者60例,分为观察组和对照组各30例。患者均接受艾滋病合并肺孢子菌肺炎常规治疗,对照组采用常规护理方法,观察组在常规治疗护理及循证的基础上实施临床护理路径,责任护士每日按临床护理路径表严格执行护理计划工作,每个班次密切观察患者病情变化。比较两组的住院时间、住院费用、护理满意度、Barthel指数得分及日常生活能力等级。结果观察组住院时间比对照组短,住院费用低于对照组,护理服务满意度得分高于对照组(P<0.01),出院时,观察组Barthel指数得分高于对照组(P<0.01),日常生活能力等级优于对照组(P<0.01)。结论临床护理路径应用于艾滋病合并肺孢子菌肺炎患者护理中,减少患者住院天数,降低住院费用,提高了患者住院满意并促进了患者日常生活能力的恢复。
Objective To explor the application effect of Clinical Nursing Pathway（ CNP） in patients with AIDS complicated with pneumocystis carinii pneumonia. Methods Totally,60 cases of AIDS complicated with pneumocystis carinii pneumonia were randomly divided into the observation group and control group. All patients received AIDS with pneumocystis carinii pneumonia with conventional treatment. Patients in the control group received routine nursing care,patients in the observation group got the conventional treatment and nursing evidence based implementation of CNP. The hospitalization time,hospitalization costs,nursing satisfaction,Barthel score of daily life ability level of patients in the two groups were evaluated. Results The hospitalization time of patients in the observation group was shorter those in hospitalization costs were lower than those in the control group（ P 〈 0. 01）,nursing service satisfaction score was higher than that of the control group（ P 〈 0. 01）,the discharge,daily life ability level of observation group were better than those in the control group（ P 〈 0. 01）,Barthel index score was higher than the control group（ P 〈 0. 01）. Conclusion The application of CNP improve satisfaction of patients and promotes the ability of daily life and life skills level of recovery,and reduces the hospitalization days and expenses in patients with AIDS complicated with Pneumocystis pneumonia.
作者
谢彩英
卢祥禅
谢朝琼
梁华萍
甘霖
韦宝绵
谢志满
XIE Cai - ying LU Xiang - chan XIE Chao - qiong LIANG Hua - ping GAN Lin WEI Bao - mian XlE Zhi - man(Ward II,Department of HIV/AIDS, the Fourth People＇s Hospital of Nanning City, Nanning 530023, China)
出处
《护理管理杂志》
2016年第12期861-863,共3页
Journal of Nursing Administration
基金
广西壮族自治区卫生厅自筹科研课题(Z2014475)
关键词
护理路径
艾滋病
肺孢子菌肺炎
clinical nursing path
AIDS
pneumocystis carinii pneumonia
