临床护理路径在特发性血小板减少性紫癜中的应用价值
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昆明医科大学第一附属医院血液科(昆明650031)

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R473.5

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基金项目:云南省教育厅科学研究基金项目(2022J0179)


Application value of clinical nursing pathway in idiopathic thrombocytopenic purpura
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Department of Hematology,the First Affiliated Hospital of Kunming Medical University,Kunming 650031,China

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    摘要:

    目的探讨临床护理路径(clinical nursing pathway,CNP)在特发性血小板减少性紫癜(idiopathic thrombocytopenic purpura,ITP)中的应用价值。方法选择2021 年1 月至12 月血液科收治的110 例ITP 病人,采用随机数字表法分为对照组(n = 53)和研究组(n = 57),其中对照组给予常规护理,研究组实施CNP 护理。对2 组病人的护理实施效果进行评价,并对护理满意度进行对比。结果研究组住院时间、住院费用均低于对照组,健康知识评分高于对照组,差异均有统计学意义(P < 0.05);两组病人治疗2 周后,研究组临床症状体征消失情况及血小板计数改善情况优于对照组,差异有统计学意义(P < 0.05);对照组和研究组治疗总有效率分别为81.13%、96.49%,对照组和研究组护理满意率分别为77.36%、96.49%,差异有统计学意义(P < 0.05);对照组并发症的发生率为11.32%,研究组未发生并发症,研究组低于对照组,差异有统计学意义(P < 0.05)。结论ITP 采用CNP 护理具有重要的应用价值,在提高病人临床疗效的同时,可缩短住院时间、缓解经济负担,满意率得到提升,且并发症的发生率低。

    Abstract:

    Objective To explore the application value of clinical nursing pathway nursing(CNP)in idiopathic thrombocytopenic purpura(ITP). Methods A total of 110 ITP patients admitted to the hospital’s hematology department from January 2021 to December 2021 were divided into control group(n = 53)and study group(n = 57)by random number table method. The control group was given routine nursing,while the research group was given clinical nursing path management. The nursing effect of the two groups of patients was evaluated,and the nursing satisfaction was investigated. Results The length of hospital stay and the cost of hospitalization in the study group were lower than those in the control group,and the health knowledge score in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05). After two weeks of treatment,the disappearance of clinical symptoms and signs and the improvement of platelet count in the study group were significantly better than those in the control group,and the difference was statistically significant(P<0.05);The total effective rates of treatment in the control group and the study group were 81.13% and 96.49%,respectively,and the nursing satisfaction rates in the control group and the study group were 77.36% and 96.49%,respectively. The data of study group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05). The incidence of complications in the control group was 11.32%,while no complications occurred in the study group,so the data of study group was significantly lower than that of the control group,with a statistically significant difference (P<0.05). Conclusion The clinical nursing path of ITP showed important application value. While improving the clinical efficacy of patients,it could also shorten the length of hospital stay,reduce the economic pressure of patients,as well as improve the satisfaction rate,and lower the incidence of complications.

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  • 在线发布日期: 2023-10-12
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