对先天性心脏病经胸微创封堵术患儿实施临床护理路径的效果分析(1)
[摘要]目的 探讨经胸微创封堵术治疗先天性心脏病患儿的临床护理路径及其应用效果。方法 选取我院2014年9月～2016年9月60例进行经胸微创封堵术治疗先天性心脏病患儿作为研究对象，随机分成对照组(常规护理)与研究组(常规护理+临床护理路径)，各30例，分析和对比两组患者的护理效果。结果 研究组护理总满意率高于对照组(96.67% vs 80.00%)，研究组患者家属对疾病相关知识的总了解率高于对照组(100.00% vs 83.33%)，组间差异均具有统计学意义(P<0.05)。且研究组住院费用和住院时间均明显优于对照组(P<0.01)。结论 临床护理路径在经胸微创封堵术治疗先天性心脏病患儿临床护理中的应用，可有效提高患者护理满意度，家属对疾病相关知识的了解更加全面，还可降低患者的住院费用，缩短住院时间。
[关键词] 先天性心脏病，经胸微创封堵术，临床护理路径
[中图分类号] R541.1 [文献标识码] A [文章编号] 2095-0616(2017)10-86-03
Analysis on effect of clinical nursing pathway on children with congenital heart disease undergoing transthoracic minimally invasive occlusion
DING Mingyun
First Cardiothoracic Department， Sixth Affiliated Hospital to Guangzhou Medical University， Qingyuan People’s Hospital， Qingyuan 511518， China
[Abstract] Objective To explore the clinical nursing pathway and its application effect on children with congenital heart disease who undergoing transthoracic minimally invasive occlusion. Methods 60 children with congenital heart disease who underwent transthoracic minimally invasive occlusion in our hospital from September 2014 to September 2016 were selected as research objects and they were randomly divided into the control group(routine nursing) and the study group(routine nursing combined with clinical nursing pathway)， with 30 in each. Nursing effects of patients in two groups was analyzed and compared. Results Total nursing satisfaction rate of the study group was higher than that of the control group(96.67% vs 80%). Total knowing rate of disease related knowledge in family members of the study group was higher than the control group(100% vs 83.33%). The differences between groups were statistically significant(P<0.05). The hospitalization cost and hospitalization stay of the study group were significantly superior to those of the control group(P<0.01). Conclusion Application of the clinical nursing pathway in transthoracic minimally invasive occlusion in treatment of children with congenital heart disease can effectively improve nursing satisfaction of patients. In addition， it can make family members have a more comprehensive understanding of disease related knowledge， reduce hospitalization cost and shorten the hospitalization stay.
[Key words] Congenital heart disease； Transthoracic minimally invasive occlusion； Clinical nursing pathway
作為临床常见的先天性先天性畸形之一，先天性心脏病的发病机制较为复杂，病情严重，绝大部分患者要接受手术治疗[1]。若未能及时治疗，患者有可能出现心功能衰竭、感染性心内膜炎等并发症， 严重威胁患者生存质量[2]。随着医学模式的发展，临床护理工作更注重人性化，拓宽和延伸了临床护理工作的职能。临床护理路径符合以患者为中心的理念，是临床护理的一种新模式[3]。临床护理路径是针对某种疾病或某一手术按照循证医学的指导原则制定的一套标准化全方位的治疗日程计划表。在医疗指导下，按照医嘱从患者住院到出院有计划、有预见性地开展护理工作，按时间进行规划，内容简洁、易于理解、有利于治疗过程中各专科间的配合，共同努力以达到规范医疗行为，提高护理质量的目标[4-5]。基于此，本文主要探讨经胸微创封堵术治疗先天性心脏病患儿的临床护理路径，并分析其应用效果。 (丁明云)
[关键词] 先天性心脏病，经胸微创封堵术，临床护理路径
[中图分类号] R541.1 [文献标识码] A [文章编号] 2095-0616(2017)10-86-03
Analysis on effect of clinical nursing pathway on children with congenital heart disease undergoing transthoracic minimally invasive occlusion
DING Mingyun
First Cardiothoracic Department， Sixth Affiliated Hospital to Guangzhou Medical University， Qingyuan People’s Hospital， Qingyuan 511518， China
[Abstract] Objective To explore the clinical nursing pathway and its application effect on children with congenital heart disease who undergoing transthoracic minimally invasive occlusion. Methods 60 children with congenital heart disease who underwent transthoracic minimally invasive occlusion in our hospital from September 2014 to September 2016 were selected as research objects and they were randomly divided into the control group(routine nursing) and the study group(routine nursing combined with clinical nursing pathway)， with 30 in each. Nursing effects of patients in two groups was analyzed and compared. Results Total nursing satisfaction rate of the study group was higher than that of the control group(96.67% vs 80%). Total knowing rate of disease related knowledge in family members of the study group was higher than the control group(100% vs 83.33%). The differences between groups were statistically significant(P<0.05). The hospitalization cost and hospitalization stay of the study group were significantly superior to those of the control group(P<0.01). Conclusion Application of the clinical nursing pathway in transthoracic minimally invasive occlusion in treatment of children with congenital heart disease can effectively improve nursing satisfaction of patients. In addition， it can make family members have a more comprehensive understanding of disease related knowledge， reduce hospitalization cost and shorten the hospitalization stay.
[Key words] Congenital heart disease； Transthoracic minimally invasive occlusion； Clinical nursing pathway
作為临床常见的先天性先天性畸形之一，先天性心脏病的发病机制较为复杂，病情严重，绝大部分患者要接受手术治疗[1]。若未能及时治疗，患者有可能出现心功能衰竭、感染性心内膜炎等并发症， 严重威胁患者生存质量[2]。随着医学模式的发展，临床护理工作更注重人性化，拓宽和延伸了临床护理工作的职能。临床护理路径符合以患者为中心的理念，是临床护理的一种新模式[3]。临床护理路径是针对某种疾病或某一手术按照循证医学的指导原则制定的一套标准化全方位的治疗日程计划表。在医疗指导下，按照医嘱从患者住院到出院有计划、有预见性地开展护理工作，按时间进行规划，内容简洁、易于理解、有利于治疗过程中各专科间的配合，共同努力以达到规范医疗行为，提高护理质量的目标[4-5]。基于此，本文主要探讨经胸微创封堵术治疗先天性心脏病患儿的临床护理路径，并分析其应用效果。 (丁明云)