Clinical Nursing Pathway In Patients Research Articles

Prevention of limb function deterioration in patients with cerebral infarction by clinical nursing pathway management

Objective: To analyze the application effect of clinical nursing pathway in patients with cerebral infarction (CI) and its influence on the deterioration of limb function, so as to find effective prevention methods. Methods: A total of 80 patients with CI admitted to our hospital from November 2020 to May 2022 were included in the study. The subjects were divided into two groups based on different nursing interventions, with one group receiving clinical nursing pathway intervention, referred to as the nursing group (n = 40), and the other group receiving standard nursing care, referred to as the routine group (n = 40). The limb function, neurological function, mobility and quality of life before and after intervention were analyzed, and the incidence of safety endpoints after 3 months of follow-up was observed. Results: The results showed that before the intervention, there were no significant differences in each function and index of the study subjects (p>0.05). After the intervention, the limb function, neurological function, mobility and quality of life of the two groups were higher than those before the intervention, and the degree of improvement was higher in the nursing group (p<0.05). At the same time, the adverse events in the nursing group were significantly less than those in the conventional group (p<0.05). Conclusion: It is suggested that clinical nursing management pathway can significantly reduce the deterioration of limb function of patients with CI, improve their mobility and quality of life, which is worthy of clinical promotion.

The application value of the clinical nursing pathway for patients with head and neck cancer.

The objective of this study was to explore the effect of using the clinical nursing pathway (CNP) to provide high-quality nursing care to patients undergoing head and neck cancer surgery and provide a theoretical basis for clinical practice. In this study, 303 surgical patients with head and neck cancers were recruited. Participants were divided into 2 groups, based on 2 different nursing methods, i.e.., the control group (152 cases) and the intervention group (151 cases). The control group was given routine nursing care, and the intervention group was assigned high-quality nursing care following the CNP. The knowledge mastery, treatment, psychological status, quality of life, and nursing satisfaction of the two groups were compared. The knowledge mastery score of the intervention group was higher compared with the control group (p < 0.05); the psychological state score of the intervention group was less than the control group's score (p < 0.05); the quality-of-life score of the intervention group was higher than the control group's score (p < 0.05), and the nursing satisfaction score was higher for the intervention group compared with the control group (p < 0.05). High-quality nursing using the CNP for patients undergoing head and neck cancer surgery helps to improve patients' knowledge mastery, mental state, quality of life, and nursing satisfaction.

Nursing Assistance to Patient with Cerebral Haemorrhage

About 25% of strokes for elderly patients are due to acute cerebral hemorrhage. Consequently, treatments to improve prognosis should be identified. The aim of the present study is to identify a clinical nursing pathway for patients with acute cerebral hemorrhage, improving the clinical effects and nursing satisfaction and reducing adverse reactions.

Construction of clinical nursing pathway for patients with laparoscopic cholecystectomy surgery based on Omaha System

Objective To construct clinical nursing pathway for patients with laparoscopic cholecystectomy surgery in acute cholecystitis stage, and to provide standardized nursing service. Methods With case record and literature review as theoretical basis, Omaha System as frame, clinical nursing pathway with patient centered was developed through analysis of main nursing problem and intervention. Results Omaha System oriented clinical nursing pathway was constructed in different stages of Laparoscopic cholecystectomy surgery with acute calculous cholecystitis. Conclusions Combined standardized nursing language and nursing process, clinical nursing pathway based on Omaha system provide practicability nursing plan in different stage regarding time as the coordinate axle. It contains assessment, problem, intervention and outcome evaluation indexed, which is beneficial to improve nursing quality. Key words: Laparoscopic cholecystectomy surgery; Clinical nursing pathway; Omaha system

Meta analysis of clinical nursing pathway on the application of hand-foot-and-mouth disease combined with viral encephalitis children

Objective To evaluate the effect of clinical nursing pathway in patients with hand-food-mouth disease associated with viral encephalitis. Methods According to the predetermined inclusion and exclusion criteria, the databases of CNKI, VIP, Wanfang, The Cochrane Library, PubMed and EBSCO database were retrieved by computer and by hand.Meta analysis was performed on the inclusion criteria by RevMan5.3 software provided by Cochrance Collaboration network.For single variable count data with the odds ratio (OR) and 95% confidence intervals (95% CI). If result were consistent, the fixed effects model would be used, on the contrary, the random effects model would be selected. Results According to the strict inclusion and exclusion criteria were included 5 studies, 416 patients were enrolled.There were 208 cases of routine nursing group and 208 clinical nursing path group.The results showed that: the clinical nursing pathway was applied in the patients with hand-foot-and -mouth disease and the patients with viral encephalitis, compared with the conventional nursing group, the hospital time was shortened〔WMD=-3.52, 95%CI=(-4.29, -2.76), P<0.000 1〕, the nursing quality was improved〔WMD=1.13, 95%CI=(0.6, 1.65), P<0.000 1〕, and the nurses' satisfaction was improved〔OR=6.19, 95%CI=(2.05, 18.67), P=0.001〕. Conclusion The application of clinical nursing pathway in patients with hand-food-mouth disease associated with viral encephalitis can significantly reduce the hospital stay, improve the quality of nursing and the satisfaction of nurses.It has a good clinical effect. Key words: Hand-food-and-mouth disease; Viral encephalitis; Clinical nursing pathway; Hospital stay; Nursing quality

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

Application values of clinical nursing pathway in patients with acute cerebral hemorrhage.

Acute cerebral hemorrhage accounts for approximately 25% of strokes for elderly patients. Consequently, treatments to improve prognosis should be identified. The aim of the present study was to examine the clinical values of the application of clinical nursing pathway for patients with acute cerebral hemorrhage. Between January 2013 and January 2015, 92 patients diagnosed with acute intracerebral hemorrhage were enrolled in the study based on the guidelines recommended for providing appropriate surgical or conservative treatment and the sequence of admission. The 92 patients were randomly divided into the control and observation groups. Patients in the control group underwent routine nursing mode prior to and after admission, and underwent clinical nursing path model (hierarchical partitioning prior to admission to hospital plus general professional program of nursing in hospital) was applied to the observation group. Barthel index scores for the observation group were significantly higher than that of the control group. The length of hospital stay for patients in the observation group was significantly lower while the average score for patients' satisfaction on nursing care while in hospital was significantly higher than that of the control group, with statistically significant differences (P<0.05). The incidence of complications such as fever, infection, bedsore, gastrointestinal function, electrolyte disturbances, and malnutrition, in the observation group was significantly lower, with statistically significant differences (P<0.05). The functional independence measure (FIM) and Fugl-Meyer scores after 6 months for the observation group were significantly higher, with statistically significant differences (P<0.05). In conclusion, application of the clinical nursing pathway for patients with acute cerebral hemorrhage significantly improved the clinical effects and nursing satisfaction, reduced adverse reactions, and had a greater clinical application value.

Clinical effects of implementation of clinical nursing pathway in patients undergoing laparoscopic cholecystectomy

Clinical effects of implementation of clinical nursing pathway in patients undergoing laparoscopic cholecystectomy

Application of clinical nursing pathway in patients with shoulder arthroscopic surgery in intraoperative period

Objective To investigate the application of clinical nursing pathway in perioperative care of shoulder arthroscopic surgery , in order to improve and establish the standard nursing model .Methods Totals of 45 patients admitted from January 2012 to December 2012 were served as the control group , without clinical nursing pathway.Totals of 44 patients from January 2013 to December 2013 were served as the study group with clinical nursing pathway .The hospital stay , medical expenses and patients’satisfaction were compared between the two groups .Results After appling the clinical nursing pathway , the hospital stay of the control group and the study group were （7.89 ±3.95） and （6.50 ±3.26） days.There was a significant difference between the two groups （t =2.238, P 〈0.05）.The hospital stay of the control group and the study group before the operation were （3.02 ±2.13） and （3.08 ±1.36） days, with no significant difference （t=0.549, P〉0.05）. The hospital stay of the control group and the study group after the operation were （3.16 ±2.03） and （2.96 ± 1.35） days, with a statistically significant difference （ t=2.511, P〈0.05）.The medical expenses of the control group and the study group were （48 464.31 ±14 813.99） and （41 899.65 ±12 292.36） yuan.There was a significant difference between the two groups （t=2.272, P〈0.05）.The satisfaction between the two groups had a significant difference （χ2 =6.621, P〈0.01）.Conclusions The application of clinical nursing pathway can effectively reduce hospital duration , medical cost and improve satisfaction of patients with shoulder arthroscopic surgery , and it is a practical , feasible and effective nursing model . Key words: Shoulder joint; Arthroscope; Clinical nursing pathway; Intraoperative period

Effect of clinical nursing pathway for endoscopic thyroidectomy in Chinese patients: A meta-analysis.

The aim of this study was to assess the effect of the use of a clinical nursing pathway for patients undergoing endoscopic thyroidectomy by conducting a meta-analysis. Electronic databases were searched for relevant controlled trials published prior to August 2013. Only papers that compared the use of a clinical nursing pathway to usual care for patients undergoing endoscopic thyroidectomy were selected. The outcome measures were mean difference and 95% confidence interval for length of hospital stay and hospital charges and risk ratio for patient satisfaction. Six controlled trials were identified. The use of a clinical nursing pathway reduced the length of hospital stay and hospital charges. Furthermore, it improved patient satisfaction. This meta-analysis indicates that application of a clinical nursing pathway appears to reduce length of hospital stay and hospital charges and improve patient satisfaction for patients undergoing endoscopic thyroidectomy.

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

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

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

Clinical effectiveness of clinical nursing pathway for patients treated by endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy

AIM: To analyze the clinical effectiveness of clinical nursing pathway(CNP) for patients treated by endoscopic retrograde cholangiopancreatography(ERCP) and endoscopic sphincterotomy(EST).METHODS: Seventy-eight patients with extrahepatic gallstones treated at our hospital from September 2010 to August 2011 comprised a control group, and 98 patients with extrahepatic gallstones treated at our hospital from September 2011 to August 2011 comprised a treatment group. All patients received routine care, and the treatment group received CNP on the basis of routine care. Clinical effectiveness was observed and compared between the two groups.RESULTS: The hospitalization duration, hospital costs and incidence of postoperative complications in the treatment group were significantly lower than those in the control group(P < 0.05). The rates of health knowledge awareness and satisfaction to care quality in the treatment group were significantly higher than those in the control group(95.9% vs 87.2%, 96.9% vs 87.2%, P < 0.05).CONCLUSION: CNP is effective for patients treated by ERCP and EST.

Application of clinical nursing pathway in patients with acute myocardial infarction

Objective To explore the implementation effect of the clinical nursing pathway in patients with acute myocardialinfarction （ AMI） under emergency percutaneous coronary intervention .Methods A total of 360 cases of AMI were randomly divided into the control group （ n=180 ） and the observation group （ n=180 ） .The control group was nursed by the traditional method , while the observation group was nursed according to the clinical nursing pathway table .The operation time , the average days of hospitalization , hospitalization expenses, patients’ understanding of disease-related knowledge and satisfaction rate were compared between the two groups .Results The observation group , the time from admission to operation , the overall hospitalization expenses,the average of days of hospitalization ,patients’ satisfaction rate and qualified rate of nursing document writing were （65 ±20）min, （59 284.41 ±18 387.85） ten thousand yuan, （8.50 ±2.54） d,97.22% and 95.59%.While in the control group, the data were （80 ±19） min, （85 569.99 ±12 5324.77）ten thousand yuan,（11.00 ±2.97） d,88.89% and 85.18%, respectively, which showed statistically significant （ t =18.3745,28.829 0,8.5658;χ2 =9.671 6, 11.425 1,respectively;P 〈0.01）.Conclusions Nursing according to the clinical nursing pathway in patients with AMI can reduce the length of hospital stay and hospitalization expenses , improve the satisfaction of patients and the qualified rate of nursing document writing , and avoid the risk of nursing work . Key words: Acute myocardial infarction; Clinical nursing pathway; Patients’ satisfaction rate; Hospitalization expenses; Length of hospital stay

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

Application of clinical nursing pathway in patients with transurethral resection of prostate

Objective To study the application effects of clinical nursing pathway in patients with transurethral resection of prostate.Methods A total of 93 patients were divided into control group of 45 cases and observation group of 48 cases,routine nursing care was taken in control group,the observation group received clinical nursing pathway to implement standardized management..The average length of stay,incidence of complications and degree of satisfaction were compared between two groups.Results The hospitalization days and incidence of complication were significantly reduced,while the satisfaction was improved in the observation group.There were statistical differences between the two groups,P ＜ 0.05.Conclusions Clinical nursing pathway can improve the clinical efficiency,promote patient's recovery,increase satisfaction,and reduce the incidence of complication in transurethral resection of prostate patients. Key words: Transurethral resection of the prostate; Clinical pathway; Nursing

Application of the clinical nursing pathway in patients with enterostomy

Objective To explore the effect of clinical nursing pathway on the patients with enterostomy.Methods Totals of 36 patients with enterostomy were randomly divided into experimental group and control group,and the experimental group received the nursing of the clinical nursing pathway while the control group received the routine nursing.The complications of enterpstomy,the patient satisfaction,the average hospitalization days and the expenses were observed and compared between two groups.Results There was significantly difference between experimental group and control group in the complication rate (0％ vs 27.77％ ),the length of the mean hospitalization ( 16.12 ± 5.46 d vs 21.18 ± 4.88 d),and the expenses (20325.68 ±5676) vs (22348.18 ±4 479.90),(x2 =4.587 8,t =-2.88,-3.372,respectively;P ＜0.05 ).Patients' satisfaction of experimental group (94.44％) was significantly higher than that of control group (55.55％),( x2 =7.251 7,P ＜ 0.05 ).Conclusions The application of clinical nursing pathway can reduce the complications of enterostomy and patients' sufferings,shorten the mean hospitalization,reduce the expenses,improve the nursing quality and patients' satisfaction. Key words: Clinical nursing pathway; Enterostomy

Application of clinical nursing pathway in early limbs activity of patients with high-risk hemiplegia in the department of cerebral surgery

Objective To seek for the best clinical nursing pathway for early limbs activity of patients with high-risk hemiplegia in the department of cerebral surgery and to reduce limbs paralysis and improve their life quality.Methods Patients(112 cases)with high-risk bemiplegia in the department of cerebral surgery from January to December in 2007 were set as the experimental group.They took part in limbs early activity on the first day on admission with application of clinical nursing pathway.Patients(89 cases)of the same kind who took part in limbs activity from January to December in 2006 were set as the control group.The two groups were compared with Brunnstrom scale beth on admission and discharge.Results The Brunnstrom grade of upper limbs,hands and lower limbs of the experimental group was evidently higher than that of the control group(P＜0.05).Especially the isolated movement and coordination ability of the hands significantly increased(P＜0.01). Conclusions Early limbs activity with clinical nursing pathway for patients with high-risk hemiplegia in the department of cerebral surgery could reach the aim of recovery of limbs functional activity. Key words: Clinical nursing pathway; Department of cerebral surgery; Hemiplegia; Early activity

Effects of using clinical nursing pathway for patients with thyroid adenoma and cured by resection

目的 探讨临床护理路径在甲状腺腺瘤患者中的应用效果.方法 将50例行甲状腺腺叶与峡部切除术的患者列为实验组,实施临床护理路径.将53例已出院的甲状腺腺瘤患者列为对照组,实施常规护理.比较2组的护理效果.结果 平均术前等待日,平均住院日,平均住院费用实验组均显著少于对照组,P＜0.05,差异有统计学意义;医疗护理品质比较实验组亦显著优于对照组,差异有统计学意义,P＜0.05.结论 临床护理路径的应用有利于提高护理质量,规范护理行为,使患者受益。