本文關(guān)鍵詞：臨床護(hù)理路徑在過敏性紫癜患兒治療中的應(yīng)用研究　出處：《吉林大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

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【摘要】：研究目的:通過將臨床護(hù)理路徑模式應(yīng)用在過敏性紫癜患兒的治療中確定可以被應(yīng)用在該種疾病治療的標(biāo)準(zhǔn)臨床護(hù)理路徑。結(jié)合對過敏性紫癜患兒癥狀的恢復(fù)疹子消退時間,護(hù)理質(zhì)量提升,住院天數(shù)住院費(fèi)用以及護(hù)士書寫護(hù)理記錄時間的影響。探索出實(shí)用,有效且可行的針對過敏性紫癜患兒的臨床護(hù)理路徑。同時借此打造一支團(tuán)結(jié)和諧的護(hù)理團(tuán)隊(duì),構(gòu)建科學(xué)的護(hù)理模式。研究方法:建立專家小組,應(yīng)用過敏性紫癜患兒的醫(yī)師版,護(hù)理版及患兒版的臨床護(hù)理路徑。通過培訓(xùn),使參與臨床護(hù)理路徑的小組成員掌握操作規(guī)程。選取2014年9月~2015年8月收治過的153例過敏性紫癜患兒進(jìn)行研究,實(shí)驗(yàn)組患兒年齡3~14歲,平均5.86±1.99,女30例,男48例。對照組患兒年齡3~14歲,平均6.36±2.33,女30例,男45例。經(jīng)統(tǒng)計(jì)學(xué)分析,實(shí)驗(yàn)組與對照組患兒的性別與年齡分布無顯著性差異(P0.05),具有統(tǒng)計(jì)學(xué)可比性。實(shí)驗(yàn)組在臨床護(hù)理路徑模式下進(jìn)行護(hù)理,對照組在傳統(tǒng)護(hù)理模式下進(jìn)行護(hù)理,通過評價疹子消退時間,對護(hù)理工作的滿意度,患兒的健康知識,患兒住院日,患兒住院費(fèi)用,護(hù)士書寫護(hù)理記錄時間等指標(biāo),來觀察護(hù)理質(zhì)量以及其他指標(biāo)在臨床護(hù)理路徑模式下的變化。研究結(jié)果:實(shí)驗(yàn)組的患兒的疹子消退時間明顯少于對照組(P0.0001)。實(shí)驗(yàn)組患兒對于護(hù)理工作的評分要顯著高于對照組(P0.0001)。兩組患兒在不同護(hù)理模式干預(yù)下,最后在患兒出院前測得的健康知識掌握情況得分分別為:70.48分和80.03分,經(jīng)t檢驗(yàn)分析,有顯著統(tǒng)計(jì)學(xué)差異性(P0.0001)。采用t檢驗(yàn)對兩組患兒的住院時間進(jìn)行比較,結(jié)果發(fā)現(xiàn)實(shí)驗(yàn)組的住院時間明顯少于對照組,差異有顯著性(P0.0001)。采用t檢驗(yàn)對兩組患兒的住院費(fèi)用進(jìn)行比較,結(jié)果發(fā)現(xiàn)實(shí)驗(yàn)組的住院費(fèi)用明顯少于對照組,差異有顯著性(P0.0001)。采用t檢驗(yàn)對兩組患兒責(zé)任護(hù)士書寫護(hù)理記錄時間進(jìn)行比較,結(jié)果發(fā)現(xiàn)實(shí)驗(yàn)組的責(zé)任護(hù)士書寫護(hù)理記錄的時間明顯少于對照組,差異有顯著性(P0.0001)。
[Abstract]:Research purposes: through the application of clinical nursing path model in the treatment of children with Henoch Schonlein purpura, we can determine the standard clinical nursing path that can be applied to the treatment of this disease. The combination of allergic purpura symptoms recovered? Rash subsided time, improve the quality of nursing care, hospitalization expenses and hospitalization days? Influence nurses in nursing record writing time. To explore the practical, effective and feasible clinical nursing path for children with Henoch Schonlein purpura. At the same time to build a united and harmonious nursing team, to build a scientific nursing model. Research methods: establish an expert group, apply the doctor version of the children with anaphylactoid purpura, the nursing version and the clinical nursing path of the children's edition. Through training, the group members involved in the clinical nursing path have mastered the operating procedures. 153 children with anaphylactoid purpura admitted in August ~2015 in September 2014 were studied. The age of children in the experimental group was 3~14 years old, with an average of 5.86 + 1.99, 30 female and 48 male. The age of the control group was 3~14 years old, the average 6.36 + 2.33, the female 30 cases, and the male 45 cases. The statistical analysis showed that there was no significant difference in sex and age distribution between the experimental group and the control group (P0.05), with a statistical comparability. The experimental group of nursing care in the clinical nursing pathway, the control group in the traditional nursing mode of care, by evaluating the rash subsided time, the nursing work satisfaction, health knowledge of children, children with hospitalization and hospitalization expenses of children, nursing record writing between nurses and other indicators, to observe the quality of nursing and other changes in the index clinical nursing path mode. Results: the experimental group with the rash subsided time was significantly less than the control group (P0.0001). The score of nursing care in the experimental group was significantly higher than that of the control group (P0.0001). Two groups of children in different nursing mode intervention, and finally, before the discharge of children, the scores of health knowledge were 70.48 points and 80.03 points respectively. T test showed significant difference (P0.0001). T test was used to compare the hospitalization time of the two groups of children. The results showed that the time of hospitalization in the experimental group was significantly less than that in the control group, and the difference was significant (P0.0001). T test was used to compare the hospitalization expenses of the two groups of children. The results showed that the cost of hospitalization in the experimental group was significantly less than that of the control group, and the difference was significant (P0.0001). T test was used to compare the time of writing nursing records between two groups of children. It was found that the time of writing nursing records in the experimental group was significantly shorter than that in the control group, and the difference was significant (P0.0001).
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R473.72

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