临床护理路径在儿童中度铅中毒治疗中的干预效果
Intervention Effect of Clinical Nursing Pathway in Treatment of Moderate Lead Poisoning in Children
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摘要:
目的 探讨临床护理路径在儿童中度铅中毒治疗中的应用效果。 方法 将92例收治入院的中度铅中毒患儿随机分为对照组和观察组(各46例)。在临床治疗过程中以整体护理为基础,对照组行常规护理,观察组在常规护理基础上实施临床护理路径(CNP),观察干预效果。 结果 按制定的临床护理路径进行全方位护理干预,观察组、对照组患儿平均住院时间分别为(8.3& #177;0.95)d和(10.7& #177;1.34)d;平均住院费用为(4620.20& #177;154.47)元和(5147.20& #177;132.15)元;驱铅试验阳性率为91.30%和69.56%,两组差异有统计学意义(P<0.01)。观察组的护理满意度、健康教育知晓率、驱铅治疗完成率及定期复诊率均明显优于对照组,差异有统计学意义(P<0.05)。 结论 临床护理路径的实施和应用在儿童中度铅中毒治疗中有积极的作用,值得临床推广。 Abstract:Objective To explore the application effectiveness of clinical nursing pathway in treatment of moderate childhood lead poisoning. Methods The study randomized 92 hospitalized childhood patients of moderate lead poisoning into a control group and an observation group, each including 46 cases. Based on holistic nursing, conventional nursing was applied to the control group; besides above nursing approach, clinical nursing pathway was applied to the observation group. Results Through holistic intervention in accordance with the established clinical nursing pathway, decreases in the average length of hospital stay (8.3& #177;0.95) d vs. (10.7& #177;1.34) d and average hospital expenses(4620.20& #177;154.47) Yuan RMB vs. (5147.20& #177;132.15) Yuan RMB were found in the observation group when compared with corresponding indices of the control group. The positive rates of lead elimination test were 91.30% for the observation group and 69.56% for the control group (P<0.01). The patients of the observation group reported higher rates than those of the control group in nursing satisfaction, health education awareness, completion of lead elimination therapy, and regular follow-up visits (P<0.05). Conclusion Clinical nursing pathway plays an active role in the treatment of moderate lead poisoning in children, and thus worths promoting in similar clinical settings.
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