Application of clinical nursing pathway in patients with hand-foot-and-mouth disease associated with vital myocarditis

Abstract

Objective To study the effect of clinical nursing pathway in patients with hand-foot-and-mouth disease associated with vital myocarditis .Methods A total of 76 cases of patients with hand-foot-and-mouth disease associated with vital myocarditis between December 2011 and December 2013 were recruited and divided into control group（n=38）and observation group（n=38） randomly.The control group was treated by normal therapy , while the observation group was treated by clinical nursing pathway .The effect and satisfaction of two groups were observed and compared .Results The hospital stay of the observation group was （12.8 ± 3.58） days, which was significantly shorter than that in the control group （ 18.7 ±5.31 ） days, and the difference was statistically significant （t =9.25,P〈0.05）.The hospital cost in the observation group was reduced by almost 20%compared with the control group .The observation group had one case with nosocomial infection, while there were six cases in the control group , and the difference was statistically significant （χ2 =6.08,P〈0.05）.The satisfaction rate of the observation group was 94.74%（36/38）, while the control group was 78.95%（30/38）, and a significant difference was found （ t =14.08, P 〈0.05）.Conclusions The clinical nursing pathway applied in patients with hand-foot-and-mouth disease associated with vital myocarditis can shorten hospital stay , reduce nosocomial infection and improve the satisfaction of patients . Key words: Hand-foot-and-mouth disease; Vital myocarditis; Clinical nursing pathway