護(hù)理管理中臨床護(hù)理路徑應(yīng)用與研究

陳莉莉

[摘要] 目的 分析臨床護(hù)理路徑（CNP）用于護(hù)理管理中的價(jià)值。 方法 選取2018年9月至2020年9月診治于棗莊市皮膚病性病防治院的住院患者123例。以隨機(jī)數(shù)字表法分為A組62例和B組61例，A組予以CNP護(hù)理，B組予以常規(guī)護(hù)理。比較兩組患者住院時(shí)間、護(hù)理滿(mǎn)意狀況和自我護(hù)理能力。 結(jié)果 A組住院時(shí)間為（5.26±0.48）d，短于B組的（7.59±0.88）d，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;A組的護(hù)理滿(mǎn)意相關(guān)維度評(píng)分均高于B組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;A組患者的自我護(hù)理能力高等水平占比為64.52%，高于B組的42.62%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 在臨床護(hù)理期間加用CNP護(hù)理能夠加強(qiáng)管理效果，而且可縮減患者的住院周期，提升滿(mǎn)意度，使其具備較高的自我護(hù)理技能。

[關(guān)鍵詞] 臨床護(hù)理路徑;護(hù)理管理;住院時(shí)間;護(hù)理滿(mǎn)意;自我護(hù)理能力

[中圖分類(lèi)號(hào)] R47? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2021）21-0177-03

Application and research of clinical nursing path in nursing management

CHEN Lili

Department of Internal Medicine， Zaozhuang Hospital for Dermatitis and Venereal Disease Prevention and Treatment in Shandong Province， Zaozhuang? ?277500， China

[Abstract] Objective To analyze the value of clinical nursing pathway（CNP）in nursing management. Methods A total of 123 inpatients treated in Zaozhuang Hospital for Dermatitis and Venereal Disease Prevention and Treatment from September 2018 to September 2020 were selected as objects. According to the random method， they were divided into group A （62 cases， CNP） and group B （61 cases， conventional nursing）. The length of stay（LOS）， patients′ satisfaction with nursing and self-care ability were compared. Results LOS was （5.26±0.48） days in group A， which was shorter than that of （7.59±0.88） days in group B， with statistically significant differences（P<0.05）. The scores of dimensions related to patients′ satisfaction with nursing were higher in group A than those in group B， with statistically significant differences（P<0.05）. The proportion of patients with high self-care ability in group A was 64.52%， which was higher than that of 42.62% in group B， with statistically significant differences（P<0.05）. Conclusion During clinical nursing， CNP can strengthen the management effect， shorten LOS of patients， improve their satisfaction with nursing and make them have higher self-care ability.

[Key words] Clinical nursing pathway; Nursing management; Length of stay; Patients′ satisfaction with nursing; Self-care ability

在醫(yī)療技術(shù)的優(yōu)化下，患者的醫(yī)療服務(wù)要求日益提升，使得臨床醫(yī)學(xué)更加重視醫(yī)療服務(wù)的個(gè)體化和整體性[1-2]。常規(guī)護(hù)理未關(guān)注護(hù)理人員和患者間的協(xié)調(diào)處理，未細(xì)化護(hù)理方案，且護(hù)理措施無(wú)相關(guān)條例支持，具有局限性。臨床護(hù)理路徑（Clinical nursing pathway，CNP）在患者的住院全程擬定預(yù)見(jiàn)性措施，可指導(dǎo)臨床診治工作，且能規(guī)范飲食與生活行為。其護(hù)理內(nèi)容處于持續(xù)性改進(jìn)狀態(tài)，可保證服務(wù)項(xiàng)目符合臨床實(shí)際，進(jìn)而節(jié)約醫(yī)療成本，縮減患者的治療費(fèi)用，是收益性較高的護(hù)理方法。但其需要護(hù)理人員具備高超的CNP護(hù)理能力，可隨機(jī)應(yīng)變，合理安排，最大化發(fā)揮其護(hù)理價(jià)值。本研究選取2018年9月至2020年9月在本院住院的123例患者，用于分析CNP護(hù)理的效用，現(xiàn)報(bào)道如下。