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[摘要] 目的 探讨临床护理路径（clinical nursing pathway，CNP）在迁延性胃炎方面的应用价值。 方法 选择我院2013年1月～2015年1月收治的96例迁延性胃炎患者，随机分为对照组和观察组。对照组48例患者以常规护理模式护理，观察组48例患者以临床护理路径模式护理，对比两组患者的护理满意度、住院时间及健康知识的掌握情况。 结果 观察组的护理满意度为95.83%，对照组的护理满意度为81.25%，观察组的护理满意度明显高于对照组，差异有统计学意义（P<0.05）。观察组的住院时间明显短于对照组，健康知识评分显著高于对照组，差异有统计学意义（P<0.05）。 结论 对迁延性胃炎患者以临床护理路径模式进行护理干预有利于提高护理质量，缩短患者住院时间，密切护患关系，值得临床推广应用。
[关键词] 临床护理路径；迁延性胃炎；满意度
[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2015）20-0137-03
Clinical application analysis of clinical pathway nursing in treatment of persistent gastritis
LIU Qing’e
First Department of Digestion， Yishui Central Hospital of Linyi City in Shandong Province， Yishui 276400， China
[Abstract] Objective To analyze the application value of clinical nursing pathway （CNP） in the treatment of persistent gastritis. Methods Ninety-six patients with persistent gastritis treated in our hospital from January 2013 to January 2015 were randomly divided into the control group and the observation group， with 48 patients in each group. The control group received nursing under conventional nursing model and the observation group received nursing under clinical pathway model. The nursing satisfaction， length of hospital stay and mastery of health knowledge of the two groups were compared. Results The nursing satisfaction of the observation group was 95.83% and the nursing satisfaction of the control group was 81.25%； the observation group was significantly higher than the control group in the nursing satisfaction， with statistically significant difference （P<0.05）. The observation group was significantly shorter than the control group in the length of hospital stay and was significantly higher than the control group in the score of health knowledge， with statistically significant differences （P<0.05）. Conclusion The application of nursing intervention under clinical nursing pathway among the patients with persistent gastritis is conducive to improving nursing quality， shortening length of hospital stay and enhancing nurse-patient relationship， thereby worthy of clinical promotion and application.
[Key words] Clinical nursing pathway； Persistent gastritis； Satisfaction
临床护理路径（clinical nursing pathway，CNP）是能够预先确定起点与终点的护理流程，目的在于以图表模式为患者提供有效、有序的护理，从而有效控制护理经费及质量，是一种综合性、跨学科的护理干预模式[1，2]。护理人员能够按照CNP有预见、有计划地开展护理干预，患者能够明确自身的护理计划目的，积极主动地参与到治疗与护理干预过程中，以经济方式起到最好的护理治疗效果[3]。迁延性胃炎是慢性胃炎的一种，因病程较长，给患者的生理及心理都带来严重影响，科学、有效的护理对于缓解患者病情具有十分重要的价值[4]。我院近年来将临床路径护理模式应用到迁延性胃炎的护理干预当中，取得理想效果，现报道如下。 [3] Elizabeth S，Ann C，Henrietta F，et al. The concept of research utilization as understood by Swedish nurse：Demarcations of instrumental，conceptual，and persuasive research utilization[J]. Worldview on Evidence-Basesd Nursing，2014，11（1）：1201-1213.
[4] Kwanta P，Haruthathai A. Analysis on the correlation between scores in nursing practice given by nursing supervisory instructors and clinical instructors of the royal thai navy college of nursing[J]. Preocedia-Social and Behavioral Sciences，2014，116（14）：413-418.
[5] Kathleen M，Patricial K，Glenda P，et al. Educational preparation for clinical nursing：The satisfaction of students and new graduates from two Australian universities[J]. Nurse Education Today，2014，34（4）：810-815.
[6] Jan W. Developing the role of the nurse as a link advisor for research and a champion for nutrition in the neonatal intensive care unit[J]. Journal of Neonatal，2013，14（11）：618-625.
[7] Angela R，Debra E，Alison M，et al. A conceptual model of psychoneurological symptom cluster variation in women with breast cancer：Bring nursing research to personalized medicine[J]. Current Pharmacogenomics and Personalized Medicine，2013，11（3）：224-230.
[8] 韩月萍，徐国强. 临床护理路径联合延续性护理对急诊腹腔镜胆囊切除术患者预后及生活质量的影响[J]. 中国现代医生，2014，52（18）：96-99.
[9] 梁蓉萍，谢波. 临床护理路径在良性前列腺增生合并腹股沟疝围手术期中的应用及效果评价[J]. 中国现代医生，2013，51（16）：102-104.
[10] 朱俞霏，王婷婷，赵晓辉. 护理干预对慢性胃炎及消化性溃疡患者生活质量的影响[J]. 中西医结合心血管病杂志（电子版），2014，11（8）：138-139.
[11] 彭灿，张明溪，陈凌艳，等. 饮食护理干预对胃炎胃溃疡患者生存质量的影响分析[J]. 中国现代药物应用，2014， 8（20）：192-193.
[12] 阳琳玉. 系统护理对慢性胃炎、胃溃疡病人疗效、生活质量及不良心理的影响[J]. 甘肃医药，2014，33（11）：856-857.
[13] 陈忠红，仇训华，黄丽儿. 综合护理干预对慢性胃炎及消化性溃疡患者生活质量的影响[J]. 齐鲁护理杂志，2012，18（13）：125-126.
（收稿日期：2015-04-07）
[关键词] 临床护理路径；迁延性胃炎；满意度
[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2015）20-0137-03
Clinical application analysis of clinical pathway nursing in treatment of persistent gastritis
LIU Qing’e
First Department of Digestion， Yishui Central Hospital of Linyi City in Shandong Province， Yishui 276400， China
[Abstract] Objective To analyze the application value of clinical nursing pathway （CNP） in the treatment of persistent gastritis. Methods Ninety-six patients with persistent gastritis treated in our hospital from January 2013 to January 2015 were randomly divided into the control group and the observation group， with 48 patients in each group. The control group received nursing under conventional nursing model and the observation group received nursing under clinical pathway model. The nursing satisfaction， length of hospital stay and mastery of health knowledge of the two groups were compared. Results The nursing satisfaction of the observation group was 95.83% and the nursing satisfaction of the control group was 81.25%； the observation group was significantly higher than the control group in the nursing satisfaction， with statistically significant difference （P<0.05）. The observation group was significantly shorter than the control group in the length of hospital stay and was significantly higher than the control group in the score of health knowledge， with statistically significant differences （P<0.05）. Conclusion The application of nursing intervention under clinical nursing pathway among the patients with persistent gastritis is conducive to improving nursing quality， shortening length of hospital stay and enhancing nurse-patient relationship， thereby worthy of clinical promotion and application.
[Key words] Clinical nursing pathway； Persistent gastritis； Satisfaction
临床护理路径（clinical nursing pathway，CNP）是能够预先确定起点与终点的护理流程，目的在于以图表模式为患者提供有效、有序的护理，从而有效控制护理经费及质量，是一种综合性、跨学科的护理干预模式[1，2]。护理人员能够按照CNP有预见、有计划地开展护理干预，患者能够明确自身的护理计划目的，积极主动地参与到治疗与护理干预过程中，以经济方式起到最好的护理治疗效果[3]。迁延性胃炎是慢性胃炎的一种，因病程较长，给患者的生理及心理都带来严重影响，科学、有效的护理对于缓解患者病情具有十分重要的价值[4]。我院近年来将临床路径护理模式应用到迁延性胃炎的护理干预当中，取得理想效果，现报道如下。 [3] Elizabeth S，Ann C，Henrietta F，et al. The concept of research utilization as understood by Swedish nurse：Demarcations of instrumental，conceptual，and persuasive research utilization[J]. Worldview on Evidence-Basesd Nursing，2014，11（1）：1201-1213.
[4] Kwanta P，Haruthathai A. Analysis on the correlation between scores in nursing practice given by nursing supervisory instructors and clinical instructors of the royal thai navy college of nursing[J]. Preocedia-Social and Behavioral Sciences，2014，116（14）：413-418.
[5] Kathleen M，Patricial K，Glenda P，et al. Educational preparation for clinical nursing：The satisfaction of students and new graduates from two Australian universities[J]. Nurse Education Today，2014，34（4）：810-815.
[6] Jan W. Developing the role of the nurse as a link advisor for research and a champion for nutrition in the neonatal intensive care unit[J]. Journal of Neonatal，2013，14（11）：618-625.
[7] Angela R，Debra E，Alison M，et al. A conceptual model of psychoneurological symptom cluster variation in women with breast cancer：Bring nursing research to personalized medicine[J]. Current Pharmacogenomics and Personalized Medicine，2013，11（3）：224-230.
[8] 韩月萍，徐国强. 临床护理路径联合延续性护理对急诊腹腔镜胆囊切除术患者预后及生活质量的影响[J]. 中国现代医生，2014，52（18）：96-99.
[9] 梁蓉萍，谢波. 临床护理路径在良性前列腺增生合并腹股沟疝围手术期中的应用及效果评价[J]. 中国现代医生，2013，51（16）：102-104.
[10] 朱俞霏，王婷婷，赵晓辉. 护理干预对慢性胃炎及消化性溃疡患者生活质量的影响[J]. 中西医结合心血管病杂志（电子版），2014，11（8）：138-139.
[11] 彭灿，张明溪，陈凌艳，等. 饮食护理干预对胃炎胃溃疡患者生存质量的影响分析[J]. 中国现代药物应用，2014， 8（20）：192-193.
[12] 阳琳玉. 系统护理对慢性胃炎、胃溃疡病人疗效、生活质量及不良心理的影响[J]. 甘肃医药，2014，33（11）：856-857.
[13] 陈忠红，仇训华，黄丽儿. 综合护理干预对慢性胃炎及消化性溃疡患者生活质量的影响[J]. 齐鲁护理杂志，2012，18（13）：125-126.
（收稿日期：2015-04-07）