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目的观察临床护理路径和常规护理在纤维支气管镜检查中的应用效果。方法选择接受纤维支气管镜检查的患者120例,按接受检查的时间分为对照组(2014年7—12月)和观察组(2015年1—6月),每组各60例,对照组接受常规护理,观察组接受临床护理路径护理,采用焦虑自评量表(SAS)对2组患者护理前后的焦虑情况进行评估,采用纽卡斯尔病人对护理服务满意度量表(NSNS)调查患者对护理工作的满意程度,使用SPSS 19.0统计学软件对数据进行统计分析,比较2组患者的SAS评分及护理满意度情况。结果护理前观察组和对照组患者的SAS评分分别为(46.72±11.34)分和(46.63±10.15)分,2组比较差异无统计学意义(t=0.046,P>0.05),护理后观察组和对照组患者的SAS评分分别为(40.01±7.11)分和(45.37±8.01)分,2组相比差异具有统计学意义(t=3.876,P<0.05);与护理前相比,观察组在接受护理后SAS评分明显降低(t=3.883,P<0.05),对照组评分降低不明显(t=0.755,P>0.05);观察组的护理满意度评分为(73.91±1.28)分,对照组为(68.28±3.35)分,观察组明显高于对照组(t=12.160,P<0.05)。对照组有5例患者出现痰中带血或少量咳血,观察组有3例,均未予以特殊处理,症状在短时间内消失;未出现其他严重并发症。结论临床护理路径在纤维支气管镜检查中取得了较好的效果,值得在临床推广,但考虑到一些医院存在护理人员短缺的情况,因此还应结合医院实际情况而定。
Objective To observe the application of clinical nursing pathway and routine nursing in bronchoscopy. Methods A total of 120 patients undergoing fibrobronchoscopy were selected and divided into control group (July-December 2014) and observation group (January-June 2015), 60 cases in each group. The control group received The patients in the observation group received routine nursing care, and the anxiety self-rating scale (SAS) was used to evaluate the anxiety before and after the care. The Newcastle patients’ nursing satisfaction survey (NSNS) Satisfaction, the use of SPSS 19.0 statistical software for statistical analysis of data, SAS scores were compared between two groups and nursing satisfaction. Results The scores of SAS before and after treatment in nursing group were (46.72 ± 11.34) and (46.63 ± 10.15) points, respectively. There was no significant difference between the two groups (t = 0.046, P> 0.05) And control group were (40.01 ± 7.11) and (45.37 ± 8.01) points, respectively. The difference between the two groups was statistically significant (t = 3.876, P <0.05) The SAS score was significantly lower after receiving nursing care (t = 3.883, P <0.05), while the control group had no significant decrease (t = 0.755, P> 0.05). The nursing satisfaction score of the observation group was (73.91 ± 1.28) Group (68.28 ± 3.35) points, the observation group was significantly higher than the control group (t = 12.160, P <0.05). In the control group, there were 5 cases of bloody sputum or a small amount of hemoptysis in the sputum. There were 3 cases in the observation group, and no special treatment was given. The symptoms disappeared within a short period of time. No other serious complications occurred. Conclusion The path of clinical nursing in the bronchoscopy has achieved good results, it is worth the clinical promotion, but taking into account the shortage of nursing staff in some hospitals, it should also be combined with the actual situation of the hospital.