International Journal of Nursing Research
International Journal of Nursing Research. 2021; 3: (1) ; 10.12208/j.ijnr. 20210006 .
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中南大学湘雅三医院肾内科 湖南长沙
*通讯作者： 姜红艳,单位：中南大学湘雅三医院肾内科 湖南长沙；
目的 探讨应用临床护理路径对腹膜透析患者围手术期的效果研究。方法 将150例尿毒症行腹膜透析置管术的患者，随机对照分为观察组和对照组，其中观察组82例，对照组68例。观察组严格按本科室制定的临床护理路径进行健康宣教，对照组按常规健康教育模式给予健康指导。以干预前后患者的平均住院日、腹膜炎发生率和患者满意度及护理人员体验反馈对干预效果进行评估。结果 最终观察组有效样本74例，对照组有效样本58例。按照临床路径行宣教干预后，观察组平均住院日和腹膜炎发生率均显著低于对照组，患者满意度有明显提升，数据差异有统计学意义。结论 应用临床护理路径对腹膜透析患者围手术期行自我管理能有效减少患者平均住院日和腹膜炎发生率，提升患者满意度，提升护理人员职业认同感。
Objective: To explore the clinical effect of using clinical pathway table in perioperative period of peritoneal dialysis patients under homogeneous management. Methods 150 patients with uremia who underwent peritoneal dialysis catheterization were divided into the intervention group and the control group.The intervention group received health education in strict accordance with the clinical pathway chart developed by the undergraduate department, while the control group received health guidance in the routine education mode.The intervention effect was evaluated by mean hospital stay, peritonitis incidence, patient satisfaction and nursing staff experience feedback before and after the intervention. Results there were 74 effective samples in the final intervention group and 58 in the control group.After the education intervention in accordance with the clinical pathway, the average hospital stay and peritonitis incidence in the intervention group were significantly lower than those in the control group, and the patient satisfaction was significantly improved, and the data difference was statistically significant. Conclusion the application of clinical pathway table in peritoneal dialysis patients in perioperative health management can effectively reduce the incidence of patients' average hospital stay and peritonitis, improve patients' satisfaction and enhance nurses' professional identity.
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