应用临床护理路径对初治涂阳肺结核住院患者实施健康教育的效果分析

中国防痨杂志 ›› 2011, Vol. 33 ›› Issue (6): 377-379.

应用临床护理路径对初治涂阳肺结核住院患者实施健康教育的效果分析

栗爱珍李亚妹李玉琢刘俊平

河北省胸科医院,石家庄,050041

收稿日期:2011-04-19 出版日期:2011-06-20 发布日期:2012-03-16
通信作者: 栗爱珍 E-mail:liaizhen3156@sina.com

Analysis on effect of clinical nursing pathway for health education in patients with new smear positive pulmonary tuberculosis

Li Aizhen,Li Yamei,Li Yuzhuo,Liu Junping

The Department of Tuberculosis; Hebei Chest Hospital; Shijiazhuang 050041; China

Received:2011-04-19 Online:2011-06-20 Published:2012-03-16
Contact: Li Aizhen E-mail:liaizhen3156@sina.com

摘要/Abstract

摘要： 目的探讨临床护理路径（简称“临床路径”）应用于肺结核患者健康教育中的效果。方法将初治涂阳肺结核患者分为临床路径组和对照组，每组200例，临床路径组：男94例，女106例，平均年龄（54±15.9）岁；对照组：男99例，女101例，平均年龄（56±14.2）岁。临床路径组应用临床护理路径进行健康教育，对照组采用常规护理方案进行健康教育，比较2组患者健康教育后治疗后生活行为的改变、护理工作满意度和抗结核药物服药依从性。均采用χ²检验，以P＜0.05为有统计学意义。结果临床路径组患者的治疗依从性比较：路径组得4分170人，得3分20人，得2分10人，得1分0人，对照组得4分140人，得3分30人，得2分21人，得1分9人；认知行为改变比较：路径组基本理解144人，部分理解51人，不能理解5人；对照组基本理解78人，部分理解71人，不能理解51人；护理工作满意度比较：路径组满意170人，较满意20人，基本满意10人，不满意0人；对照组满意130人，较满意40人，基本满意20人，不满意10人。两者上述三项评价指标经统计学处理，χ²值分别为17.806、60.686、35.33，P值均小于0.01，临床路径组明显高于对照组。结论在肺结核患者健康教育中实施临床护理路径管理，可有效提高患者对治疗依从性、护理工作满意度和认知行为的改变。

关键词: 结核, 肺/护理, 健康教育

Abstract: Objective To investigate the effect of the clinical nursing pathway（clinical pathway for short） for health education in patients with new smear positive pulmonary tuberculosis. Methods 400 patients with new smear positive pulmonary tuberculosis were assigned equally to a clinical pathway group and a control. The clinical pathway group included 94 male and 106 female and average age was (54±15.9). The control group included 99 male and 101 female and average age was （56±14.2）. Patients received health education with clinical nursing pathway in clinical pathway group and received health education with conventional care programmes in the control. Change of life behavior, nursing satisfaction and compliance of taking anti-tuberculosis drugs were compared between the clinical pathway group and the control. Data were analyzed with chi-square test. P-value<0.05 was considered to be statistically significant. Results The score of treatment compliance in the clinical pathway group were 4 scores in 140 cases, 3 scores in 20 cases, and 2 scores in 10 cases. In the control group, the scores of treatment compliance were 4 scores in 170 cases, 3 scores in 30 cases, 2 scores in 21 cases and 1 scores in nine case. Cognitive behavior change in the clinical pathway group were basic apprehension in 144 cases, partial apprehension in 51 cases and inapprehension in 5 cases. In the control group, basic apprehension in 78 cases, partial apprehension in 71 cases and inapprehension in 51 cases.Nursing satisfaction in the clinical pathway group were satisfactory in 170 cases, partial satisfactory in 20 cases, basic satisfactory in 10 cases and unsatisfactory in 0 cases. In the control group,satifactory in 130 cases,partial satifactory in 40 cases, basic satifactory in 20 cases,and unsatifactory in 10 cases.Three above assessment indicators between the clinical pathway group and the control were significantly different. The chi-square value were 17.806, 60.686 and 35.33 respectively, P values were less than 0.01. The indicator in the clinical pathway group was higher than those in the control (P＜0.01). Conclusions Management of clinical pathway can improves treatment compliance, nursing care satisfaction and cognitive behavior change in patients with pulmonary tuberculosis.

Key words: tuberculosis,pulmonary/nursing, health education

中图分类号:

R473.5

栗爱珍李亚妹李玉琢刘俊平. 应用临床护理路径对初治涂阳肺结核住院患者实施健康教育的效果分析[J]. 中国防痨杂志, 2011, 33(6): 377-379.

Li Aizhen,Li Yamei,Li Yuzhuo,Liu Junping. Analysis on effect of clinical nursing pathway for health education in patients with new smear positive pulmonary tuberculosis[J]. Chinese Journal of Antituberculosis, 2011, 33(6): 377-379.

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