临床护理路径在缺血性脑卒中康复护理中的应用研究

临床护理路径在缺血性脑卒中康复护理中的应用研究摘要目的：将临床护理方式用于缺血性脑卒中患者的康复训练中，标准其康复训练对策，制订规范化医治步骤，协助护理人员精确具体指导患者恢复，推动患者恢复，提高效率，提升单病种功效。方式：采用方便快捷的抽样法，将100例自愿参加本试验的对符合条件的患者分成2组，在其中对照组50例，临床护理路径组50例（下称路径组)。对照组采用传统全面覆盖医护，观察组采用“临床医学路径”医护。采用国外国立大学医院门诊脑卒中量表、Fugl-Meyer水平量表、Barthel指数值量表、均值住院治疗日、均值住院费、患者对护理的满意率和健康教育知识专业技能问卷调查对临床护理路径作出评价。结果：初始对照组和路径组病人均为100人，5名病人和4名病人是因为疾病或其它因素而被打断的，95名是对照组，96名是路径组，完成度是96%。在这些患者中，54名男性，42名女性，年龄在51-75之间，平均年纪64.12~7.22，而对照组58名男性和37名女性，年龄46-75岁，平均年龄63.246.37岁。在美国国家医院在病人从医院到术后60天的追踪过程中，病人在术后和术后60天内的得分都比正常组要低；在简单Fugl-Meyer的动作能力评价和Barthel Index评价表格得分上都有显著的差别(P<0.05):在治疗过程中，病人的住院时间和住院时间都比对照要短(P>0.05)。结论：1.为缺血性脑卒中病人设计了一条治疗途径。2通过实施临床护理，使康复治疗过程更加顺畅，肢体康复效果得到了最好，日常生活自理能力得到提高。3通过实施临床护理，使病人了解护士工作的满意和卫生教育的相关知识。4推行了临床护理路线，使单一病种的医疗服务品质得到改善。关键词：临床护理路径；缺血性脑卒中：健康教育：单病种护理质量AbstractObjective:To apply clinical nursing methods in the rehabilitation training of patientswith ischemic stroke,standardize the rehabilitation training countermeasures,formulatestandardized treatment steps,assist nursing staff to accurately and specifically guide therecovery of patients,promote the recovery of patients,improve efficiency,and improve theefficacy of single disease.Methods:A total of 100 eligible patients who volunteered toparticipate in this study were divided into two groups by convenient and fast samplingmethod,including 50 cases in the control group and 50 cases in the clinical nursingpathway group (hereinafter referred to as the pathway group).The control group receivedtraditional comprehensive medical care,while the observation group received "clinicalmedical pathway"medical care.The clinical nursing pathway was evaluated by foreignNational University Hospital Outpatient Stroke Scale,Fugl-Meyer Scale,Barthel indexvalue scale,mean hospitalization days,mean hospitalization costs,patients'satisfactionrate of nursing and health education knowledge and professional skills questionnaire.Results:THERE WERE 100 PATIENTS IN BOTH THE INITIAL CONTROLGROUP AND THE PATHWAY GROUP,5 PATIENTS AND 4 PATIENTS WEREinterrupted because of disease or other factors,95 were in the control group,96 were in thePATHWAY group,and the completion rate was 96%.Of these patients,54 were male and42 were female,with an average age of 64.12 to 7.22 (range,51 to 75),compared with 58men and 37 women in the control group,with an average age of 63.24 to 6.37 (range,46 to75).At the National Hospital in the United States,when patients were followed from thehospital to 60 days after surgery,patients scored lower than the normal group both aftersurgery and within 60 days after surgery;There were significant differences in the scoresof simple Fugl-Meyer motor ability evaluation and Barthel Index evaluation table(P<0.05).During the treatment,the length of hospital stay and hospital stay of the patients wereshorter than those of the control group (P>0.05).Conclusion:1.A treatment pathway was designed for patients with ischemic stroke.2.Through the implementation of clinical nursing,the rehabilitation process is moresmooth,t