| 摘要: |
| ［摘要］ 目的 观察并评价尘肺患者大容量肺灌洗（WLL）应用临床护理路径（CNP）的效果。方法 将50例行WLL的尘肺患者按住院顺序分为实验组和对照组各25例，实验组实施CNP护理模式，对照组实施传统护理模式，对比两组实施效果。结果 实验组平均住院天数、平均住院费用少于对照组；实验组的患者满意度高于对照组,两组比较差异有统计学意义（P<0.01）。两组灌洗后临床症状综合积分低于灌洗前,差异有统计学意义（P<0.05）,两组灌洗后3 d肺功能较灌洗前有改善趋势，但差异无统计学意义（P>0.05)。实验组CNP前SCL-90总分及阳性项目数均较高,CNP后SCL-90总分及阳性项目数明显降低，两组治疗后心理状况比较差异有统计学意义（P<0.05）。结论 在尘肺患者行WLL中实施CNP护理模式，能降低住院费用,缩短住院时间，提高患者满意度,提高医护质量及改善患者的心理健康状况，值得在临床中应用和推广。 |
| 关键词: 尘肺 大容量肺灌洗 临床护理路径 |
| DOI：10.3969/j.issn.1674-3806.2016.06.06 |
| 分类号:R 47 |
| 基金项目:深圳市卫计委立项课题（编号：201402102） |
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| Construction and evaluation of the clinical nursing pathway of whole lung lavage in pneumoconiosis patients |
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LI Dong-hong, LIU Jian, CHEN Zhi-jun, et al.
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Department of Occupational Disease, Prevention and Treatment Center for Occupational Diseases of Shenzhen, Guangdong 518001, China
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| Abstract: |
| ［Abstract］ Objective To establish the clinical nursing pathway(CNP) of whole lung lavage(WLL) in pneumoconiosis patients, and to evaluate the effect of the application.Methods Fifty cases of WLL were divided into the experimental group and the control group according to the different hospitalization orders, with 25 cases in each group. The CNP nursing mode was implemented in the experimental group and the traditional nursing mode was implemented in the control group. The implementation effect of the two groups was compared between the two groups.Results The average length of hospital stay and the average cost of hospitalization in the experimental group were significantly less than those in the control group. The degree of patients′ satisfaction of the experimental group was higher than that of the control group(P<0.01). The clinical symptoms scores after the lavage were significantly lower than those before the lavage in both of the two groups(P<0.05). Lung ventilation functions showed a tendency to improve 3 days after the lavage compared with those before the lavage in both of the two groups, but without significant differences(P>0.05). Mental health status of the patients who were treated with CNP were better than the patients who were not treated with CNP(P<0.05).Conclusion Implementation of CNP can reduce the hospitalization costs, shorten the hospital stay and improve the satisfaction and mental health status, and improve the quality of nursing in the pneumoconiosis patients who accept WLL. |
| Key words: Pneumoconiosis Whole lung lavage(WLL) Clinical nursing pathway(CNP) |
