护理管理中临床护理路径应用与研究

陈莉莉

[摘要] 目的 分析临床护理路径（CNP）用于护理管理中的价值。 方法 选取2018年9月至2020年9月诊治于枣庄市皮肤病性病防治院的住院患者123例。以随机数字表法分为A组62例和B组61例，A组予以CNP护理，B组予以常规护理。比较两组患者住院时间、护理满意状况和自我护理能力。 结果 A组住院时间为（5.26±0.48）d，短于B组的（7.59±0.88）d，差异有统计学意义（P<0.05）;A组的护理满意相关维度评分均高于B组，差异有统计学意义（P<0.05）;A组患者的自我护理能力高等水平占比为64.52%，高于B组的42.62%，差异有统计学意义（P<0.05）。 结论 在临床护理期间加用CNP护理能够加强管理效果，而且可缩减患者的住院周期，提升满意度，使其具备较高的自我护理技能。

[关键词] 临床护理路径;护理管理;住院时间;护理满意;自我护理能力

[中图分类号] R47          [文献标识码] B          [文章编号] 1673-9701（2021）21-0177-03

Application and research of clinical nursing path in nursing management

CHEN Lili

Department of Internal Medicine， Zaozhuang Hospital for Dermatitis and Venereal Disease Prevention and Treatment in Shandong Province， Zaozhuang   277500， China

[Abstract] Objective To analyze the value of clinical nursing pathway（CNP）in nursing management. Methods A total of 123 inpatients treated in Zaozhuang Hospital for Dermatitis and Venereal Disease Prevention and Treatment from September 2018 to September 2020 were selected as objects. According to the random method， they were divided into group A （62 cases， CNP） and group B （61 cases， conventional nursing）. The length of stay（LOS）， patients′ satisfaction with nursing and self-care ability were compared. Results LOS was （5.26±0.48） days in group A， which was shorter than that of （7.59±0.88） days in group B， with statistically significant differences（P<0.05）. The scores of dimensions related to patients′ satisfaction with nursing were higher in group A than those in group B， with statistically significant differences（P<0.05）. The proportion of patients with high self-care ability in group A was 64.52%， which was higher than that of 42.62% in group B， with statistically significant differences（P<0.05）. Conclusion During clinical nursing， CNP can strengthen the management effect， shorten LOS of patients， improve their satisfaction with nursing and make them have higher self-care ability.

[Key words] Clinical nursing pathway; Nursing management; Length of stay; Patients′ satisfaction with nursing; Self-care ability

在醫疗技术的优化下，患者的医疗服务要求日益提升，使得临床医学更加重视医疗服务的个体化和整体性[1-2]。常规护理未关注护理人员和患者间的协调处理，未细化护理方案，且护理措施无相关条例支持，具有局限性。临床护理路径（Clinical nursing pathway，CNP）在患者的住院全程拟定预见性措施，可指导临床诊治工作，且能规范饮食与生活行为。其护理内容处于持续性改进状态，可保证服务项目符合临床实际，进而节约医疗成本，缩减患者的治疗费用，是收益性较高的护理方法。但其需要护理人员具备高超的CNP护理能力，可随机应变，合理安排，最大化发挥其护理价值。本研究选取2018年9月至2020年9月在本院住院的123例患者，用于分析CNP护理的效用，现报道如下。