摘要
背景近年来,传统模式忽视了内镜治疗对护理工作的规范化要求,严重影响诊疗结果,诱发不良事件,尤其是重症患者,在内镜诊疗期间易出现并发症,且原因错综复杂,常在猝不及防的瞬间发生,影响内镜治疗的开展.目的探讨临床护理路径联合网络闭环式管理在重症患者消化内镜治疗期间的应用效果.方法选取淳安县第一人民医院2022-01/2024-02期间收治的84例行内镜治疗的重症患者,按随机数字表法分组,每组42例,对照组采取常规护理,观察组采取临床护理路径联合网络闭环式管理.比较两组患者临床指标、认知程度、心理状态、并发症和患者满意度.结果观察组胃肠功能恢复时间、住院时间短于对照组,住院费用低于对照组,差异有统计学意义(P<0.05);干预后两组认知程度评分优于干预前,且观察组感知益处、接纳评分高于对照组,无助感评分低于对照组,差异有统计学意义(P<0.05);干预后两组心理状态激惹、抑郁和焦虑自评量表(irritability depression and anxiety self-rating scale,IDA)评分低于干预前,且观察组IDA量表各维度评分均低于对照组,差异有统计学意义(P<0.05);两组并发症、不良事件发生率相比,差异无统计学意义(P>0.05);两组相比,观察组护理满意度明显高于对照组,差异有统计学意义(P<0.05).结论通过临床护理路径联合网络闭环式管理,促进胃肠功能早期恢复,缩短住院时间,减少住院费用,提高患者疾病和内镜诊疗认知度,改善患者心理状态,减少内镜诊疗过程中护理安全不良事件,提高患者满意度.
BACKGROUND In recent years,the traditional nursing model has ignored the standardized requirements of endoscopic treatment for nursing work,which seriously affects the diagnosis and treatment results,and induces adverse events,especially in severe patients.Complications are prone to occur during endoscopic diagnosis and treatment,and the causes are complex.They often occur at unexpected moments,affecting the development of endoscopic treatment.AIM To explore the effect of clinical nursing pathway combined with network closed-loop management during the treatment of critically ill patients undergoing digestive endoscopy.METHODS Eighty-four critically ill patients who underwent endoscopic treatment in our hospital from January 2022 to February 2024 were selected and divided into two groups using a random number table method,with 42 patients in each group.The control group received conventional nursing care,while the observation group received clinical nursing pathway combined with network closed-loop management.Clinical indicators,cognitive level,psychological status,complications,and patient satisfaction were compared between two groups of patients.RESULTS The recovery time of gastrointestinal function and the length of hospitalization in the observation group were significantly shorter and the hospitalization expenses were significantly lower than those of the control group(P<0.05).After the intervention,the cognitive level scores of the two groups were both better than those before the intervention,and the observation group had significantly higher perceived benefits and acceptance scores and lower helplessness score than the control group(P<0.05);the irritability depression and anxiety self-rating scale(IDA)scores of the two groups were both significantly lower than those before intervention,and the scores of each dimension of the IDA scale in the observation group were significantly lower than those of the control group(P<0.05).There was no statistically significant difference in the incidence of complications and adverse events between the two groups(P>0.05).Compared with the control group,the observation group had significantly higher nursing satisfaction(P<0.05).CONCLUSION The clinical nursing pathway combined with network closed-loop management can promote early recovery of gastrointestinal function,shorten hospitalization time,reduce hospitalization costs,improve patients’understanding of diseases and endoscopic diagnosis and treatment,improve patients’psychological state,reduce nursing safety adverse events during endoscopic diagnosis and treatment,and improve patient satisfaction.
作者
夏洋
毕玉珍
胡堃苗
Yang Xia;Yu-Zhen Bi;Kun-Miao Hu(Department of Gastro-enterology,Chun’an County First People’s Hospital,Hangzhou 311700,Zhejiang Province,China)
出处
《世界华人消化杂志》
2025年第8期649-656,共8页
World Chinese Journal of Digestology
关键词
临床护理路径
网络闭环式管理
重症
消化内镜
不良事件
Clinical nursing pathway
Closed-loop network management
Critical illness
Digestive endoscopy
Adverse events
