Clinical Nursing Pathway Group Research Articles

CNP model intervention effect on acute urticaria patients' psychological status, compliance, and life quality.

This study aimed to evaluate the impact of the clinical nursing pathway (CNP) on the psychological state, treatment adherence, and quality of life in patients with acute urticaria. A total of 240 patients diagnosed with acute urticaria at a tertiary hospital in Shandong Province were retrospectively assigned to either a control group, receiving standard care, or an intervention group, receiving care according to the CNP model. The primary outcomes assessed were levels of anxiety, depression, quality of life, and patient compliance. Statistical analyses were employed to evaluate the outcomes. Following the intervention, significant differences were observed in the anxiety and depression scores (P < .001), with the intervention group demonstrating lower levels of both. The control group's psychological state exhibited significant variance pre- and post-intervention (P < .001), alongside notably reduced overall compliance (P < .01). Post-intervention, patients in the intervention group showed enhanced treatment compliance, with a rapid increase within the first hour and a stable ascent over the following 10 hours, albeit with a marginally greater increase in the CNP group. Beyond 10 hours, the CNP group's compliance gradually declined, with a slight uptick in noncompliance rates. By 14 hours, the control group's overall compliance began to wane, with a sharp decline in full compliance and a rapid rise in noncompliance rates observed after 19 hours. At the 20-hour mark, the control group's noncompliance rate surpassed both the partial and full compliance rates. Conversely, post-20 hours, the CNP group maintained higher rates of full and partial compliance, with a lower noncompliance rate. No significant changes were noted in the control group's physiological or mental state, except in the domains of self-care and social ability, where notable differences were absent pre- and post-intervention. In contrast, the CNP group showed significant improvements in physiological and mental states, self-care, and social abilities post-intervention (P < .001), with noticeable differences in these domains evident 6 hours into the treatment (P < .01), leading to an enhanced quality of life. The CNP-based clinical nursing model intervention significantly benefits patients with acute urticaria by alleviating anxiety and depression, enhancing treatment adherence, and improving overall quality of life.

Implementation of a clinical nursing pathway for percutaneous coronary intervention: A randomized controlled trial protocol.

Background:Acute myocardial infarction is a very common disease in the emergency room. Emergency percutaneous coronary intervention (PCI) is the first choice to open infarct-related artery in time to regain the active blood flow of myocardial tissue. Clinical nursing pathway (CNP), namely clinical project, is an original nursing mode with good quality, outstanding efficiency, and low treatment spending, so it has attracted more and more attention. However, few studies have reported the implementation of a CNP in PCIs. The purpose of the protocol is to assess the impact of CNP on the clinical efficacy of transradial emergency PCI.Methods:This is a randomized controlled, single center trial which will be implemented from January 2021 to June 2021. Hundred samples diagnosed with acute myocardial infarction will be included in this study. It was authorized via the Ethics Committee of Changshan County People's Hospital (CCPH002348). Patients are assigned to the following groups: control group, given normal routine care; CNP group, treated with CNP plan. The time from door to balloon, hospitalization expenses, length of stay, postoperative complications, patients’ satisfaction with treatment are compared and analyzed. All data are collected and analyzed by Social Sciences software version 21.0 (SPSS, Inc., Chicago, IL) program.Results:Differences of clinical outcomes between groups (Table 1).Conclusion:This original evidence-based nursing model can be used as the foundation for further research.Trial registration number:researchregistry6030

Implementation of a clinical nursing pathway for percutaneous coronary intervention: A prospective study

This study is to evaluate the effect of a clinical nursing pathway (CNP) on the clinical outcomes of the transradial approach for emergency percutaneous coronary intervention (PCI). A total of 118 subjects diagnosed with acute myocardial infarction (AMI) were enrolled in the study. They were randomly divided into a control group receiving conventional nursing and a clinical nursing pathway group. The differences in door-to-balloon time, length of hospital stay, hospitalization cost, postoperative complications, and patient satisfaction with nursing care between the two groups were determined and analyzed statistically. Results indicated that the clinical nursing pathway is a more cost-effective care strategy for transradial PCI in the setting of AMI resulting in a reduced door-to-balloon time, less post-operative complications, and improved patient satisfaction.

Efficiency of clinical nursing pathway in patients with coronary heart disease after PCI surgery: a meta-analysis

Objective To evaluate the effects of clinical nursing pathway (CNP) on nursing effect of patients with coronary heart disease (CHD) after PCI surgery by meta-analysis. Methods Randomized controlled trials (RCTs) of clinical nursing pathway (CNP) and common nursing for patients with CHD after PIC surgery were searched in several databases including CNKI, Wanfang, and VIP, from the inception of database to August 1st 2016. Two researchers collected papers separately, and applied RevMan 5.2.0 to analyze data. Relative risk (RR) , mean difference (MD) , and 95% confidence intervals (CI) gave evidences to the outcomes. Results Totally 19 researches and 2 420 patients with CHD were included in this study. The quality of methodology in those studies was low and high risk of bias was a common limitation. Meta analysis showed that, compared with common nursing group, the incidence rate of complications in clinical nursing pathway group was lower [RR=0.42, 95%CI (0.35~0.50) , I2=0%], satisfaction level was higher [RR=1.14, 95%CI (1.11~1.18) , I2=13%], hospitalization duration was shorter [MD=-2.67, 95%CI (-3.24~-2.10) , I2=94%], and hospitalization cost was lower [MD=-0.44, 95%CI (-0.55~-0.34) , I2=100%]. Conclusions Clinical nursing pathway is effective in lowering incidence rate of complications, increasing patient's satisfaction level, shortening hospitalization duration, and cutting hospitalization cost. However, the results need more high-quality, and rigorous-designed RCTs to support. Key words: Clinical nursing pathway; Coronary heart disease; Percutaneous transluminal coronary intervention; Meta-analysis

Effects of clinical nursing pathways on colorectal cancer patients with colostomy in perioperative period: a Meta-analysis

Objective To systematically review the effects of clinical nursing pathways on colorectal cancer patients with colostomy. Methods Studies on the randomized controlled trials (RCT) of clinical nursing pathways on colorectal cancer patients with colostomy were systematically searched in electronic databases including CNKI, VIP, CBM and WANFANG Data. Meta-analysis was performed using RevMan 5.3 software. Results A total of 16 studies enrolling 1 159 patients (582 in observation group and 577 in control group) were included. The results of the Meta-analysis indicated that patients′ satisfaction [RR=1.24, 95 CI%=(1.17, 1.32), P<0.01] and self-care ability of patients [RR=1.58, 95 CI%=(1.38, 1.82), P<0.01] were significantly higher in observation group than in control group. Average hospitalization time [SMD=-1.65, 95 CI%=(-2.66, -0.65), P<0.01], the medical expenses [SMD=-3.89, 95 CI%=(-6.90, -0.87), P<0.01] and postoperative complications [RR=0.39, 95 CI%=(0.27, 0.55), P<0.01] in observation group were significantly decreased while comparing to control group. The descriptive analysis showed that the mastering of health knowledge in the clinical nursing pathway group were better than those in control group. Conclusions Application effects of clinical nursing pathways are superior to the traditional nursing methods in colorectal cancer patients with colostomy. Key words: Clinical nursing pathways; Colorectal cancer; Colostomy; Meta-analysis

Application effect of clinical nursing pathways on laparoscopic cholecystectomy patients:a meta analysis

Objective The study aimed to evaluate the application effect of clinical pathways in la-paroscopic cholecystectomy patients by using the meta-analysis. Methods Published randomized controlled trials (RCT) about laparoscopic cholecystectomy patients were searched and screened in China National Knowledge Infrastructure (CNKI), China Scientific Journal Database by VIP, Wanfang Database under present stan-dards. The quality of the included studies was evaluated by certain standards. The Review Manager 5.2 software was used for analysis. Results Totally 29 studies including 5 570 cases were eligible to the criteria (2 753 in the experimental group and 2 853 in the control group) altogether. The meta-analysis showed that the hospital-ization time and hospitalization costs in the clinical nursing pathway group were significantly less than those of the control group (SMD=-1.69 and -3.75), the satisfaction degree and the mastering of health knowledge in the clinical nursing pathway group were significantly higher than those of the control group (RR=1.16 and 1.26), the differece had statistical significance. Conclusions Application effect of clinical nursing pathways is superior to the traditional nursing method in laparoscopic cholecystectomy patients. Key words: Cholecystectomy, Laparoscopic; Clinical pathways; Nursing; Meta analysis

Effect of clinical nursing pathways on transsphenoidal resection of pituitary adenoma：a Meta-analysis

Objective To evaluate the application effect of clinical nursing pathways on transsphenoidal resection of pituitary adenoma patients by using the Meta-analysis.Methods Published randomized controlled trials（ RCT） in transsphenoidal resection of pituitary adenoma patients were searched and screened in CNKI , VIP,Wanfang database under present standards .The quality of the included studies which by certain standards was evaluated.The Revman 5.0 software was taken for analysis .Results Totally 5 studies including 258 cases were eligible to the criteria （129 inclinical nursing pathways group and 129 in the traditional group） together. The Meta-analysis showed there were significant difference between the clinical nursing pathway group and the traditional group in hospitalization days （ WMD =-4.03, 95%CI =-4.59 - -3.46, P 〈0.01 ）, hospitalization expenses（WMD=-3 848.35,95%CI=-4 601.94--3 094.76,P〈0.01）, rate of patients’ satisfaction（WMD=1.14,95%CI=1.04-1.25,P〈0.01 ）, rate of mastering knowledge of nursing pathway group（WMD=1.29,95%CI=1.13 -1.48,P〈0.01）.Conclusions Clinical nursing pathway is superior compared with the traditional group for patients undergoing transsphenoidal resection of pituitary adenoma . Key words: Clinical nursing pathway; Transsphenoidal resection of pituitary adenoma; Meta-analysis

Meta analysis of clinical nursing pathway appfied on patients with breast cancer surgery in China

To explore the effect of clinical nursing pathway applied on patients with breastcancer surgery. Methods Searched the CNK, IVIP, Wan fang database and CBM, collected controlled clinical trials about clinical nursing pathway applied on patients with breast cancer surgery. Then, the summary data was analyzed by RevMan 5.2 software. Results Totals of 10 controlled clinical trials were incorporated, including 904 patients with breast cancer surgery, clinical nursing pathway group had 453 patients, and control group had 451 patients. Meta-analysis showed that compared with control group, the hospital stay of clinical nursing pathway group was shorter, average cost was less and the satisfaction was higher, and the difference between the two groups had significant differences （ P 〈 0.05 ）. Conclusions Applying clinical nursing pathway in patients with breast cancer surgery can shorten the average hospital stay, reduce the hospital cost and improve the satisfaction of patients. However, randomized double-blind controlled studies with large samples are needed to further confirm the conclusion. Key words: Breast cancer; Surgery; Clinical nursing pathway; Meta analysis

Application of clinical nursing pathway for patients with schizophrenia and correlated factors with its effects

Objective The present study is to evaluate the effects of clinical nursing pathway (CNP)carried out among the in-patients with schizophrenia,and investigate its associated factors.Methods Via a random assignation,a total of 125 in-patients with schizophrenia were eligible,63 cases in the CNP group and 62 cases in the control group.CNP procedure was implemented in the CNP group,however only routine health education was carried out in the control group.In time of discharge,serial investigations were executed including hospitalization days,medical cost,knowledge about health education (KHE),and clinical global impression-global improvement (CGI-GI) and satisfaction survey (SS).Finally Logistic regression procedure was used for determining the variables associated with outcomes.Results Compared with the control group,the CNP group showed significantly higher scores in KHE and SS,but not in hospitalization days,medical cost and eficacy.Mono-variant and multivariate Logistic regression analysis indicated that in the CNP group,only age and education levels were the factors significantly related with CNP effects.Conclusions Our result displays that CNP is profitable to be carried out in psychiatric department.It can improve relationship between nurses and patients,enhance health education effect,and thus contribute to increasing compliance to antipsychotics. Key words: Clinical pathway; Nursing care; Schizophrenia; Related factors

Effect of clinical nursing pathway applying in cesarean section

Objective To explore the efficacy of healthy care on applying the clincial nursing pathway into cesaresn section.Methods 120 patients were randomly divided into traditional group (GP) and clinical nursing pathway group (CP) .Conventional nursing strategy was used in the GP,and in the other group,daily medical attention,nursing and rehabilitation were provided according to the planned strategies involving the doctors,nurses and patients.The patient's age,civilization,pregnancy,hospitalization period and cost,satisfaction and healthcare knowledge commanging were respectively observed.Results The average hospital day and costs of the CP were significantly lower than those of the GP (P ＜ 0.05),and the former group had also greater scores for patient satisfaction and healthcare knowledge (P ＜ 0.05) .Conclusion On the basis of HIS ,we carry out the clincial pathway into cesarean section,which reducing average hospital day and costs,enhanceing the satisfaction of the parturient,standard diagnosis and treatment nursing methods,increasing the rate of reaching the standard. Key words: Clinical pathway; Nursing; Cesarean section

Influence of clinical nursing pathway on operative effects for patients with malignant tumour of bone

Objective To study the influence of clinical nursing pathway on operative effects for patients with malignant tumout of bone. Methods 60 adult patients with malignant turnout bone were divided into the clini-cal nursing pathway gronp(32 cases) and control group(32 cases) randomly, routine nursing cares were used in con-trol group, while the clinical nursing pathway was used in the observation group. Compared the index between the two groups. Results All the indexes which had been compared between the two group were better in the clinical nursing pathway group than those in control group, the difference was significant (P < 0.05). Condusion The clinical nursing pathway can effectivly improve the compliance of patients for operation, avoid postoperative complications, and then imprpve their quality of life. Key words: Malignant tumour of hone; Clinical nursing pathway