摘要:
目的 分析心肌梗死患者的临床护理路径与患者预后的相关性.方法 选择本院接收的137例心肌梗死患者为研究对象,将患者随机分为观察组和对照组,观察组69例患者给予临床护理路径,对照组68例患者给予常规护理方案.对比2组患者的预后情况、健康知识掌握程度、不良情绪发生情况、卧床时间、住院时间及医疗费用情况.结果 观察组患者的心绞痛、心力衰竭、心律失常和心源性休克病症的发生率均显著低于对照组(P＜0.05);观察组患者的心肌梗死复发率、病死率显著低于对照组(P＜0.05);观察组患者在用药方面、疾病方面、饮食方面和运动方面的健康知识达标情况均优于对照组(P＜0.05);观察组患者的紧张、焦虑和恐惧的不良情绪发生率均低于对照组(P＜0.05);观察组患者的卧床时间和住院时间短于对照组,医疗费用低于对照组(P＜0.05).结论 实施临床护理路径患者的预后好、复发率及病死率低、住院时间短.
Abstract:
Objective To study the correlation between clinical nursing pathway and prognosis of patients with myocardial infarction.Methods A total of 137 myocardial infarction patients were randomly divided into observation group and control group,the observation group with 69 patients was given clinical nursing and 68 patients in the control group were given conventional nursing.The prognosis,mastery degree of health knowledge,adverse emotion,bed time,hospitalization time and medical expenses were compared.Results The observation group had lower incidence of angina,heart failure,arrhythmia and cardiogenic shock than the control group (P ＜ 0.05).Recurrence and mortality rate of myocardial infarction were significantly higher than the control group (P ＜ 0.05).Qualified rate of health knowledge in medication,disease,diet and exercise were better than the control group (P ＜ 0.05);Bad mood occurrence in tension,anxiety and fear was lower than that in the controls (P ＜ 0.05).Bed time and hospitalization time in the observation group was significantly less,and medical cost was lower than that in the control group (P ＜ 0.05).Conclusion Clinical nursing pathway has better prognosis,lower recurrence rate and mortality,and less hospital time.
百度学术
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