Effect Of Clinical Nursing Pathway Research Articles

Application of clinical nursing pathway in deep vein catheterization post cardiothoracic operation

Objective To investigate the effects of clinical nursing pathway (CNP) on patients with deep vein catheterization after cardiothoracic operation. Methods A total of 950 patients with deep vein catheterization post cardiothoracic operation from January 2013 to December 2014 in Shandong Heze Municipal Hospital were evenly divided into experimental group and control group by admission time. Under the same basis of surgical therapy, the clinical nursing pathway and normal nursing were respectively adopted in experimental and control group. Postoperative recovery, complications and satisfaction of patients were compared between two groups. Results The total effective rate was 90.95% in experimental group and 77.26% in control group (P<0.05). Incidences of complications were 9.68% in experimental group and 28.00% in control group (P<0.05). Satisfaction of patients was 92.42% in experimental group and 78.32% in control group (P<0.05). Conclusions Adoption of CNP for post cardiothoracic operation patients improves effectiveness of surgery. In addition, CNP can reduce recovery time and complications. CNP, which increases satisfaction of patients and their relatives, is worth popularization. Key words: Cardiothoracic surgery; Perioperative nursing; Deep vein catheterization; Clinical nursing pathway

The effect of clinical nursing pathway on the health education for patients with clubfoot orthopedic surgery

Objective To explore the effect of clinical nursing path ways on the health education for patients with clubfoot orthopedic surgery. Methods A total of 84 patients with clubfoot orthopedic surgery were randomly divided into control group and observation group, observation group adopted full-course health education by clinical nursing pathway table, control group adopted routine health education. Results After the implementation of clinical nursing pathway, the average length of stay, cost of hospitalization, and postoperative incidence of adverse reactions and complications in observation group were significant lower than those in control group.And both the health education content mastery and patients' satisfaction of nursing services in observation group were substantial increased (both P<0.05). Conclusions The application of clinical nursing pathways can be helpful to improve the effects of health education, reduce health care costs and the incidence of postoperative adverse reactions and complications, shorten the average length of stay, enhance the exchange of communication between doctors and patients, nurses and patients, and cultivate young nurses. Key words: Clinical nursing pathway; Clubfoot orthopedic surgery; Health education

The research of clinical nursing pathway on psychological status and life quality of cerebral hemorrhage patients

Objective To discuss the effect of clinical nursing pathway on psychological status and life quality of cerebral hemorrhage patients. Methods The 60 cases were divided into intervention group and control group with 30 cases in each group. The intervention group was treated with clinical nursing pathway, and the control group was treated with normal nursing. The psychological status and life quality between the two groups were compared. Results The scores of SAS and SDS in intervention group were significantly decreased after nursing. However, there were no significant differences compared with those of control group. Moreover, the scores of life quality in intervention group were significantly better than those in control group. Conclusions Clinical nursing pathway could improve psychological status as well as life quality. Key words: Clinical nursing pathway; Cerebral hemorrhage; Psychological status; Life quality

Effects of clinical nursing pathway on promotion of gastrointestinal motility among patents with gynecological diseases after laparoscopic surgery

Objective To observe and explore the clinical value of clinical nursing pathway (CNP) to promote gastrointestinal motility in patients with gynecological diseases after laparoscopic surgery (LS). Methods CNP nursing model were carried out in 80 patients with LS in our hospital from April 2013 to April 2014, as the intervention group; another 80 patients accepted only routine care were selected as the control group. Postoperative recovery time of bowel sounds, first exhaust time and hospital stay, serum motilin (MTL) and gastrin (GAS) concentrations at 2 h preoperative, as well as 24 h and 48 h after surgery were recorded and compared. Results The recovery time of bowel sounds, first exhaust time and hospital stay were (25.3±4.7)h, (32.8±7.5) h and (9.7±3.2) d in the intervention group, and were (36.7±4.8)h, (46.8±9.6)h and (12.7±4.5)d in the control group (t=8.313, 5.630, 3.621; P 0.05); MTL and GAS level were significantly higher in intervention group [(318.4±16.2), (125.9±13.2), (327.2±24.8), (138.4±12.8) score] than in the control group [(273.2±14.3), (96.1±12.1), (293.4±19.2), (109.2±11.6) score] after 24 h and 48 h, the difference was statistically significant (t=10.250, 8.130, 5.280, 8.281; P<0.05). Conclusions CNP care model implementation can effectively promote the recovery of gastrointestinal function in gynecological patient after LS, and help the rehabilitation of patients. Key words: Laparoscopic; Clinical nursing pathway; Gynecological diseases; Gastrointestinal function

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

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.

Effect of clinical nursing pathway on curative effect and quality of life in children with viral enteritis

Objective To explore the effect of clinical nursing pathway on curative effect and quality of life （ QOL） in children with viral enteritis.Methods The clinical data of 150 children with viral enteritis treated in the hospital from June 2011 to May 2013 were collected, then the children were divided into two groups , 75 children in observation group were intervened with clinical nursing pathway , while 75 children in control group were treated with conventional nursing measures; the changes of related indexes of clinical efficacy and QOL in the two groups were compared.Results After nursing , the total effective rates in observation group and control group were 93.34%and 76.00%, respectively, the total effective rate in observation group was statistically significantly higher than that in control group （ P〈0.05）;the duration times of clinical symptoms （such as defecating times, diarrhea, fever and vomiting） in observation group were statisti-cally significantly shorter than those in control group （ P〈0.05 ） .Conclusions The effect of clinical nursing pathway for children with vi-ral enteritis is significant , clinical nursing pathway can significantly improve the clinical curative effect , quickly relieve various clinical symp-toms and improve QOL of the children with viral enteritis , which is worth clinical applying. Key words: Clinical nursing pathway; Viral enteritis; Quality of life

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

Application of clinical nursing path on patients with acute pancreatitis

Objective To discuss the effect of clinical nursing pathway （ CNP） on patients with acute pancreatitis （ AP） .Methods Totals of 246 patients with AP were randomly divided into the observation group （n=124） and the control group （n=122）.The observation group received clinical nursing pathway while the control group was given conventional nursing methods .Nursing effect was compared between two groups . Results Patients’ satisfaction rate was 96.77% in the observation group and 87.70% in the control group, with statistically significant difference （χ2 =2.83,P〈0.05）.The average stay in hospital was （16.64 ±4.15）d in the observation group and （18.77 ±5.28） d in the control group.The average cost of hospitalization was （48 972.38 ±17 362.33） yuan in the observation group and （55 728.47 ±21 932.36）yuan in the control group. Both differences were statistically significant （F=2.62, 3.91, respectively;P〈0.05）.Conclusions CNP can significantly improve the nursing quality of AP patients and reduce the medical cost . Key words: Nursing; Clinical nursing pathway; Acute pancreatitis

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

The effect of clinical nursing pathway on lung function and nursing satisfaction in pneumonia patients

Objective To investigate the application effect of clinical nursing pathway on pneumonia patients.Methods Totaled of 100 cases of pneumonia patients were divided into the observation group and the control group according to different nursing methods,the control group was given routine nursing,the observation group was given clinical nursing pathway,and nursing effects were compared between the two groups.Results PCO2 before discharge in the observation group was significantly less than that in the control group,PO2,PEF were significantly higher than those in the control group (P ＜ 0.05).The disappeared time of cough,asthma,pulmonary symptoms and hospitalization time in the observation group were significantly shorter than those in the control group (P ＜ 0.05).Nursing satisfaction in education,environment,attitude project in the observation group were significantly higher than those in the control group (P ＜ 0.05).Conclusions Clinical nursing path can significantly improve the therapeutic effect in pneumonia patients,improve lung function,and shorten the hospitalization time. Key words: Clinical nursing path; Pneumonia; Pulmonary function ; Nursing satisfaction

Effects of clinical nursing pathway on patients with intranasal endoscopic cerebrospinal fluid rhinorrhea repair surgery

Objective To explore the effects of clinical nursing pathway on patients with intranasal endoscopic cerebrospinal fluid rhinorrhea repair surgery.Methods Totals of 69 patients received the implementation of the repair of cerebrospinal fluid rhinorrhea were recruited and randomly divided into intervention group (n =35) and control group (n =34).Control group received traditional preoperative visits and intraoperative coordination,traditional preoperative visits,while intervention group received clinical nursing pathway including preoperative interview pathway,operation day support pathway,and postoperative interview Pathway.Then,anxiety,surgical start time,blood loss,anesthesia recovery time and recovery period of anesthesia complications and patients' satisfaction were observed and compared.Results The SAS score of intervention group in one day before operation and before anesthesia was (46.38 ± 4.77),(49.86 ± 5.59),respectively,lower than that of control group [(50.76 ± 5.81),(53.99 ± 6.59)],and the difference was statistically significant (P ＜ 0.01).After the intervention,blood loss [(199.64 ± 46.72) vs (240.67 ±58.68) ml],anesthesia recovery time [(26.10 ± 5.09) vs (34.50 ± 6.76) min],hospital stay [(20.42 ±2.73) vs (24.61 ± 3.63) d],patients' satisfaction points [(4.56 ± 0.47) vs (3.07 ± 0.52)] in intervention group were significantly lower than that in control group (t =14.152,3.138,3.020,6.056,11.881,respectively;P ＜ 0.01).Conclusions Patients with cerebrospinal fluid rhinorrhea repair treat with surgery clinical care path,can effectively relieve the patient's preoperative anxiety,reduce anesthesia recovery time,blood loss and anesthesia recovery complications and improve the therapeutic effect of perioperative and the patient satisfaction. Key words: Clinical pathway; Endoscopy; Cerebrospinal fluid rhinorrhea; Intraoperative period ; Nursing intervention

The effects of clinical nursing pathway on health knowledge and postoperative recovery in patients with laparoscopic operation

Objective To explore the application effect of clinical nursing path in patients with laparoscopic operation.Methods A total of 100 laparoscopic operation patients were divided into the observation group and the control group according to different nursing methods.The control group was given routine nursing,the observation group was given clinical nursing path.The awareness rate of health knowledge,medical compliance behavior,postoperative recovery and nursing satisfaction were compared between two groups.Results The awareness rate of health knowledge,compliance,nursing satisfaction in the observation group were significantly higher than those in the control group (P ＜ 0.05).Postoperative recovery in observation group was significantly better than that in the control group (P ＜ 0.05).Conclusions Clinical nursing path is conducive to standardize nursing behavior,improve patients'awareness rate of health knowledge,and promote postoperative recovery. Key words: Clinical nursing pathway; Laparoscopy; Health knowledge; Postoperative recovery

Application of clinical nursing pathways during peri-chemotherapy for patients with breast cancer

Objective To investigate the effect of clinical nursing pathways during perichemotherapy for patients with breast cancer.Methods 64 patients with breast cancer receiving chemotherapy were randomly divided into control group and study group,32 for each group.The control group received routine care,while the study group received clinical nursing pathways.Mental status and quality of life were compared between the two groups.Results Mental status and quality of life were markedly improved in the study group,as compared with those in the control group (P＜0.05).Conclusions Application of clinical nursing pathways during peri-chemotherapy for breast cancer can improve the quality of nursing care. Key words: Clinical nursing pathway; Breast cancer; Mental status; Quality of life

Effect of clinical nursing pathway on the qualified rate of health education and satisfaction of tuberculosis patients

Objective To investigate the effect of clinical nursing pathway(CNP) on the qualified rate of health education and satisfaction of tuberculosis patients.Methods Totals of 200 cases with tuberculosis between January 2011 and December 2011 were selected and divided into two groups.The patients in control group( n =100) received conventional medication and routine nursing care,while the patients in observation group(n =100) received conventional medication combined with CNP.The qualified rate of health education and satisfaction of patients in the two groups were observed respectively.Results The satisfaction of patients and qualified rate of health education in observation group respectively were 97.0％ and 97.0％,and that of control group were 70.0％ and 76.0％,respectively,and the difference was statistically significant( x2 =9,54,17.68 ;P ＜ 0.05 ).Conclusions Educating the tuberculosis patients through CNP is benefit in increasing the satisfaction of patients and the qualification rate of health education and reducing the detriment. Key words: Clinical nursing pathway; Qualified rate of health education; Patients' satisfaction

Application of clinical nursing pathways in renal transplant recipients during the perioperative period

Objective To evaluate the effect of CNP （Clinical Nursing Pathways） on renal transplant recipients during the perioperative period. Methods 60 renal transplant recipients was divided into CNP group （28 cases） and control group （32 cases） according to their admission time, and the method of comparison was used. The control group only received conventional care while CNP group received CNP care in addition. Two group＇ s average length of stay, average hospitalization expense, satisfaction with the care and incidence rate of postoperative complication were compared during the perioperative period to evaluate the effect of CNP. Results The average length of stay of CNP group was （ 27.6 ± 4.3 ） d, shorter than （ 32.5 ± 6.8 ） d of the control group, and the difference was statistically significant （ t = - 3. 245, P = 0. 002 ）. The average hospitalization expense of CNP group was （ 48 621 ± 10 506 ） yuan, lower than （ 54 788 ± 8 521 ） yuan of the control group, and the difference was statistically significant （t = -2. 509 ,P = 0.015 ）. The rate of ＂satisfied＂, ＂less satisfied＂ and ＂not satisfied＂ of CNP group was 67.9%, 28.6% and 3.6% respectively, and that of the control group was 37.5% , 43.8% and 18.8% respectively. The satisfaction in the CNP group was better than that in the control group, and the difference was statistically significant （ χ2 = 6.551 ,P = 0. 038 ）. However, the difference between two group＇ s incidence rate of postoperative complication was not statistically significant （ P 〉 0.05 ）. Conduslons CNP nursing method for renal transplant recipients during the perioperative period is scientific, reasonable and feasible, which can shorten the length of stay, reduce average hospitalization expense, improve satisfaction with nursing and promote the continuous improvement of nursing quality. Key words: Renal transplantation; Perioperative period; Clinical nursing pathways; Recipient

Effect of clinical nursing pathway on rehabilitation effect, bospitalization cost and satisfaction degree of patients with acute stroke

Objective To disuss the effect of clinical nursing pathway on rehabilitation effect,hospitalization cost and satidaction degree of patients with acute stroke.Methods 100 cases of acute cerebral stroke patients in our hospital from December 2009 to June 2010 were divided into the observation group and the contro group with 50 cases in each group.The control group was given conventional nursing,while the observation group was given clinical nursing pathway.Nursing effect was compared between two groups.Results Neural function defect score,daily life ability improvement hospitalization time and cost,the compliance rate of health education content,satisfaction degree with nursing quality in the observation group were significantly better than those in the control group.Conclusions Clinical nursing pathway for patients with acute stroke can shorten hospitalization time,reduce hospitalization cost and improve the rehabilitation effect. Key words: Clinical nursing pathway; Acute stroke; rehabilitation effect; Hospitalization expense; Satisfaction Degree

The clinical effects of clinical nursing pathway in health education on the patients with maintenance hemodialysis

Objective To observe the clinical effects of clinical nursing pathway in health education on the patients with maintenance hemodialysis.Methods Eighty - two patients with maintenance hemodialysis were selected and divided into conventional group and CPN group.The patients of two groups separately received routine health education and CPN health education.Complications cases,the compliance with treatment and the satisfaction of nursing were compared between two groups after 8 weeks'hemodialysis on the patients.Results There was a statistical significant ( P ＜ 0.05 ) in the compliance with treatment and the satisfaction of nursing after 8 weeks'hemodialysis,the CPN group was better than the conventional group.Conclusions It should pay the health education to the maintenance hemodialysis patients in the clinical nursing pathway,it can significantly reduce the number of complications cases in the treatment and increase the compliance with treatment and the satisfaction of nursing. Key words: Clinical nursing pathway; Hemodialysis; Health education; Complications; Treatment compliance; Satisfaction degree

Effect of clinical nursing pathway on the mechanical ventilation effect of ARDS patients

Objective To investigate the effect of clinical nursing pathway on mechanical ventilation effect of ARDS patients. Methods 59 ARDS patients with mechanical ventilation from June 2008 to December 2010 were randomly divided into the observation group (30 cases)and the control group (29 cases). The control group used the traditional care model, conventional mechanical ventilation monitoring,treatment and care according to routine measures; the observation group used clinical nursing pathway. The mechanical ventilation time, complication rate of mechanical ventilation, and the gratification level of patients in the two groups of patients were observed. Results The mechanical ventilation time in the observation group was less than the control group, and incidence of complications was lower, and satisfaction degree of patients and their families was better, the difference was statistically significant. Conclusions The clinical nursing pathway can shorten the time of mechanical ventilation, lower incidence of complications of mechanical ventilation, and it improves satisfaction degree of patients and their families. Key words: Clinical care pathway; ARDS; Mechanical ventilation