Effect Of Clinical Nursing Pathway Research Articles

Applying and effect of clinical nursing pathway in spontaneous pneumothorax patient underwent operation

Objective To investigate the effects of the implementation of clinical nursing pathway among spontaneous pneumothorax patients underwent operative. Methods Paired design was applied. Fifty control group. The average hospitalization days, cost, recovery after surgery, mastery of knowledge, and satisfaction degree of the two groups were compared. Results 1 day postoperation, effective expectoration rate of experimental group was 88.0%, control group was 20%, the difference was statistically significant(P ＜0. 01);The average hospitalization days in experimental and control groups were (7.6 ± 3. 0) days and (10.6 ± 4. 1)days respectively, the difference was statistically significant(P ＜0. 05); The cost between the two groups were not statistically different (P ＞ 0. 05); The scores of patients' knowledge mastery in experimental and control groups were (23.6 ± 1.0) and (10.6 ± 4. 1) respectively, the difference was statistically significant(P ＜0. 01), the satisfaction degree scores were (9.7 ± 0.5) and (8.6 ± 1.7) respectively, the difference was statistically significant (P ＜ 0. 01). Conclusions Clinical nursing pathway applying in spontaneous pneumothorax operation can promote patient's recovery, reduce the average hospitalization, improve knowledge mastery and satisfaction. Key words: Clinical nursing pathway; Spontaneous pneumothorax; Nursing management

Implementation and effect of clinical nursing pathways in the laparoscopic Miles surgery for rectal cancer

Objective To study the effect of clinical nursing pathways on the postoperative efficacy andquality of life of laparoscopic Miles surgery for rectal cancer.Methods 60 cases of lower rectal cancer patients received laparoscopic Miles surgery from Jan 2005 to Jan 2008 were given clinical nursing pathway and common nursing treatment.Clinical curative effect and quality of life were evaluated and compared.Results The satisfactory ratio,average hospitalization time and average expense of hospitalization were(95.0±0.4)%,(14.5 ±1.2)days and(28 156.0±572.5)yuan respectively,while they were(75.0±2.6)%,(16.5±1.3)days and(34 245.0±785.6)yuan in the control group.The differences between the two groups were statistically significant(P 0.05),but observation group had higher postoperative quality of life (P<0.05).Conclusions Clinical nursing pathway could significantly reduce hospitalization day and fees,postoperative complications improve the quality of life and satisfactory ratio for rectal cancer patients accepted laparoscopic Miles surgery.It may be the best nursing choice for laparoscopic Miles surgery. Key words: Rectal cancer; Laparoscopic Miles surgery; Clinical nursing pathways; Quality of life

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

Effect of clinical nursing pathway to patients with infertility treated by peritoneoscope

Objective To study the effect of application of clinical nursing pathway to patients with infertility treated by peritoneoscope. Methods 106 patients with infertility treated by peritoneoscope were randomly divided into observation group (n = 53) and control group (n = 53). Clinical nursing pathway was applied in observation group and routine nursing care was taken in control group. The effect of clinical nursing care was observed and compared. Results There were significant differences in these aspects of the compliance behavior, average days in hospital , standard rate of health education management, and patients' satisfaction between the two groups (P<0. 05). The days of hospitalization was less in observation group than that in control group, while the nursing quality in the observation group was significantly lower than those of in control group (P<0. 05). Conclusions Clinical nursing pathway provides patients with infertility treated by peritoneoscope with standard the nursing behaviors, and effectively increases the quality of nursing care, patients' satisfaction,and creates more beneficial result for the society. Key words: Clinical nursing pathway; Peritoneoscope; Infertility

Application of clinical pathway in emergency treatment of foreign body in respiratory tract of chil-dren

Objective To evaluate the effect of clinical nursing pathway in emergency treatment of for-eign body in respiratory tract of children. Methods Retrospective analysis was carried out in 555 children with foreign body in respiratory tract from February 2005 to December 2007, who were divided into the control group (271 cases) and the experimental group (284 cases). The experimental group was given managed with standardized clinical pathway,the control group received routine management. The preoperative preparation time, average hospital stay, cost of hospitalization, the extent of mastering of health knowledge by patients'par-ents were observed and the data underwent χ2 and t test. Results All patients of the two groups were cured and no nursing complications happened.The mean preoperative preparation time of the experimental group was 10 hours, which was shorter than that of the control group(27 hours). The average length of hospital stay of the experimental group was (4.13 + 0.81)days, which was shorter than that of the control group ,(6.03 + 1.30) days.The average hospitalization cost of the experimental group was (3498.55 + 269.13) yuan, while the control group was(4246.40 + 977.10) yuan. The extent of mastering of health knowledge by patients' parents, including basic knowledge of the disease, preoperative cooperation knowledge,prevention knowledge and diet knowledge, was superior to that of the control group. Conchusions The establishment of clinical pathway of children with foreign body is conducive to the standardized treatment of the disease, it can shorten the preoperative prepara-tion time, improve the capability of emergency treatment, shorten the length of hospital stay, reducing hospital-ization costs, increase the extent of mastering of health knowledge by patients and their families. Key words: Clinical pathway; Foreign body of respiratory tract; Child

Effect of clinical nursing pathway on compliance behavior of patients with lumbar disc herniation

目的 探讨实施护理干预对腰椎间盘突出症患者遵医行为的影响.方法将92例患者按入院时间先后随机分为观察组46例和对照组46例,观察组按照临床护理路径实施护理干预,对照组给予常规护理和传统的健康教育.比较2组患者遵医行为、出院时症状改善情况、患者的住院天数、180 d内复发率.结果观察组患者遵医行为、出院时症状临床控制率、住院天数均明显低于对照组,与对照组相比有显著差异(P《0.01).结论应用临床护理路径实施护理干预可显著改善腰椎间盘突出症患者遵医行为,增强治疗效果,降低住院天数和疾病复发率。