摘要
目的了解临床路径在规范化输血中的应用效果。方法将该院2016年2月-2018年12月的80例规范化输血患者,随机分组,常规护理模式组给予常规护理,临床路径护理模式组采取临床路径护理模式。比较两组满意评分;输血知识的认知水平、输血的平均准备时间;护理前后焦虑程度、抑郁心理等测评值;输血并发症发生率。结果临床路径护理模式组的满意评分更高(t=7.013,P<0.05)。临床路径护理模式组的满意评分是(94.45±3.15)分,而常规护理模式组的满意评分是(80.13±2.80)分。护理后临床路径护理模式组焦虑程度、抑郁心理等测评值(23.74±2.21)分、(21.11±2.11)分优于常规护理模式组(42.21±2.57)分、(37.31±3.23)分(t=6.014、6.913,P<0.05)。临床路径护理模式组输血知识的认知水平、输血的平均准备时间(94.24±2.79)分、(12.56±2.45)min优于常规护理模式组(85.40±2.45)分、(24.41±3.21)min(t=6.716、7.231,P<0.05)临床路径护理模式组输血并发症发生率更少,差异有统计学意义(χ^2=6.014,P<0.05)。临床路径护理模式组输血并发症发生率有1例,而常规护理模式组输血并发症发生率有8例。结论规范化输血患者实施临床路径护理模式效果确切,可有效提高患者对输血知识的认知水平,缩短输血准备的时间和减轻患者的焦虑以及抑郁心理状态,减少输血并发症的发生,提高患者的满意度。
Objective To understand the clinical application of clinical pathways in standardized blood transfusion.Methods 80 normalized blood transfusion patients from February 2016 to December 2018 in the hospital were randomly divided into two groups. The routine nursing mode group was given routine nursing, and the clinical pathway nursing mode group adopted clinical pathway nursing mode. The satisfaction scores of the two groups were compared;the cognitive level of blood transfusion knowledge, the average preparation time of blood transfusion;the evaluation value of anxiety degree and depression psychology before and after treatment;the incidence of blood transfusion complications.Results The satisfaction score of the clinical pathway care model group was higher(t=7.013,P<0.05). The satisfaction score of the clinical pathway care model group was(94.45±3.15)points, while the satisfaction score of the routine care model group was(80.13±2.80)points. The evaluation value of anxiety degree and depression psychology in the clinical pathway nursing mode group was(23.74±2.21)points and(21.11±2.11)points, which was better than the conventional nursing mode group(42.21 ±2.57)points,(37.31 ±3.23)points(t =6.014,6.913,P <0.05). The cognitive level of blood transfusion knowledge and the average preparation time of blood transfusion in the clinical pathway nursing mode group were(94.24±2.79)points,(12.56±2.45)min which was better than the conventional nursing mode group(85.40±2.45)points,(24.41±3.21)min(t=6.716,7.231,P<0.05). The incidence of blood transfusion complications was lower in the clinical pathway care model group, The differents was statistically significant (χ^2=6.014,P<0.05) There were 1 case of transfusion complication in the clinical pathway nursing mode group, and 8 cases of transfusion complications in the conventional nursing mode group. Conclusion The clinical path of nursing patients with standardized blood transfusion is effective, which can effectively improve the patient’s knowledge of blood transfusion knowledge, shorten the time of blood transfusion preparation, reduce the anxiety and depression of patients, reduce the incidence of blood transfusion complications, and improve patient satisfaction degree.
作者
卞祥虎
BIAN Xiang-hu(Jiangyin People's Hospital,Jiangyin,Jiangsu Province,214400 China)
出处
《系统医学》
2019年第19期172-174,共3页
Systems Medicine
关键词
临床路径
规范化输血
应用效果
Clinical pathway
Standardized blood transfusion
Application effect
