| 肖璐,刘吉华,杨水秀.临床护理路径在支气管动脉栓塞治疗肺结核大咯血患者中的应用效果[J].实用中西医结合临床,2021,21(22): |
| 临床护理路径在支气管动脉栓塞治疗肺结核大咯血患者中的应用效果 |
| Application effect of clinical nursing path in bronchial artery embolization treatment of pulmonary tuberculosis patients with massive hemoptysis |
| 投稿时间：2021-08-09 修订日期：2021-08-17 |
| DOI： |
| 中文关键词: 临床护理路径 支气管动脉栓塞 肺结核 大咯血 护理满意度 |
| 英文关键词: Clinical nursing pathway bronchial artery embolism tuberculosis massive hemoptysis satisfaction of nursing |
| 基金项目:江西省卫生健康委科技计划项目（编号：20204749） |
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| 中文摘要: |
| 目的：总结肺结核大咯血患者行支气管动脉栓塞治疗的临床护理路径体会。方法：选取2020年1月至2021年3月于江西省胸科医院收治的经支气管动脉栓塞治疗的100例肺结核大咯血患者作为研究对象，按随机数字表法将其分为常规组和实验组，每组各50例。常规组患者采取常规护理措施，实验组患者应用临床护理路径，评估并比较两组临床护理效果。结果：实验组分诊评估、急诊停留时间、手术抢救时间、住院时间明显短于常规组，差异具有统计学意义（P <0.05）；并发症总发生率及医疗费用明显低于常规组，差异具有统计学意义（P <0.05）；患者满意度（98%vs92%）及健康教育知晓率（100%vs94%)明显高于常规组（P <0.05）。结论：支气管动脉栓塞治疗肺结核大咯血患者采取临床护理路径，效果卓越，可在提高护理服务质量的同时，降低医疗成本，并提高患者的满意度，值得临床推广应用。 |
| 英文摘要: |
| To summarize the experience of clinical nursing path of bronchial artery embolization for patients with pulmonary tuberculosis and massive hemoptysis.Methods: A total of 100 patients with pulmonary tuberculosis and massive hemoptysis treated by bronchial arterial embolization in Jiangxi Chest Hospital from January 2020 to March 2021 were selected as the research objects, and they were divided into routine group and experimental group according to random number table method, with 50 cases in each group.Patients in the conventional group were treated with conventional nursing measures, and patients in the experimental group were treated with clinical nursing paths. The clinical nursing effects of the two groups were evaluated and compared.Results: The triage evaluation, emergency stay time, operative rescue time and hospital stay time of the experimental group were significantly shorter than those of the observation group, the difference was statistically significant (P<0.05).The total incidence of complications and medical expenses were significantly lower than those in the observation group, and the difference was statistically significant (P<0.05).Patients" satisfaction（98%vs92%） and health education awareness rate （100%vs94%)were significantly higher than those in the observation group, Conclusion:Bronchial artery embolization in the treatment of pulmonary tuberculosis patients with massive hemoptysis with clinical nursing path, excellent effect, can improve the quality of nursing service, reduce medical costs, and improve the satisfaction of patients, worthy of clinical application. |
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