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目的探讨临床护理路径对急性缺血性脑卒中患者自理能力及医疗支出的影响。方法 120例急性缺血性脑卒中患者,随机分成观察组和对照组,每组60例。对照组给予常规护理,观察组在常规护理基础上实施临床护理路径。比较两组病情情况、住院时间及费用、护理满意度及发症情况。结果观察组Barthel Index评定表(BI)、简式Fugl-Meyer评定量表(FMA)、美国国立卫生研究院卒中量表(NIHSS)评分均优于对照组,差异有统计学意义(P<0.05)。观察组住院时间和住院费用均优于对照组,差异有统计学意义(P<0.05)。观察组患者护理满意度为96.7%,对照组患者护理满意度为71.7%,比较差异有统计学意义(P<0.05)。观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论临床护理路径可以有效缓解急性缺血性脑卒中患者的病情,提高患者自理能力,减少医疗支出。
Objective To explore the impact of clinical nursing pathway on patients’ self-care ability and medical expenditure in patients with acute ischemic stroke. Methods 120 patients with acute ischemic stroke were randomly divided into observation group and control group, 60 cases in each group. The control group was given routine care, and the observation group underwent routine nursing care based on routine nursing. Compare the two groups of conditions, hospitalization time and costs, nursing satisfaction and complications. Results The Barthel Index Rating Scale (BI), Fugl-Meyer Rating Scale (FMA) and NIHSS score in the observation group were all better than those in the control group (P <0.05 ). The observation group hospitalization time and hospitalization costs were better than the control group, the difference was statistically significant (P <0.05). The satisfaction rate of nursing in observation group was 96.7%, while that in control group was 71.7%, the difference was statistically significant (P <0.05). The incidence of complications in observation group was lower than that in control group, the difference was statistically significant (P <0.05). Conclusion The path of clinical nursing can effectively alleviate the condition of patients with acute ischemic stroke, improve their self-care ability and reduce medical expenses.