摘要
为了全面评估临床护理路径对冠心病合并Ⅱ型糖尿病介入治疗效果及对生活质量的影响,本研究选择84例冠心病合并Ⅱ型糖尿病介入治疗患者作为研究对象,按照计算机随机数字表法分为对照组和试验组,每组42例,对照组给予常规护理,试验组给予临床护理路径护理,比较早期活动能力、住院时间和费用、生活质量评分及并发症情况。经分析比较发现:试验组患者的开始床上活动时间和床下活动时间短于对照组,而术后24 h的6 min步行距离和出院前1 d的12 min步行距离等明显高于对照组(p<0.01)。试验组住院时间和住院费用明显低于对照组(p<0.01)。试验组生活质量的躯体功能、认知功能、情绪功能、角色功能和社会功能等评分均高于对照组(p<0.05)。试验组心律失常及并发症发生率明显低于对照组(p<0.05)。对冠心病合并Ⅱ型糖尿病介入患者进行临床护理路径干预措施,利于患者早期活动,减少住院时间和费用,提高生活质量,降低并发症发生率。
In order to comprehensively evaluate the effect of clinical nursing pathway on the treatment effect and quality of life of patients with coronary heart disease complicated with type Ⅱ diabetes intervention, 84 patients with coronary heart disease complicated with type Ⅱ diabetes interventional therapy were selected as object in this research, who were divided into the control group and the treatment group with 42 cases in each group according to random number table method. The control group was given routine nursing care, while the treatment group was given nursing care of clinical nursing pathway, and the early activity capacity, hospital time and costs, score of quality of life and complications of the two groups were compared. The result of analysis and comparison showed that the time to start bed activity and the time to get out of bed of the treatment group were shorter than those of the control group, and the walking distance in 6 min 24 h after operation and the walking distance in 12 min 1 d before leaving the hospital of the treatment group were obviously longer than those of the control group （p 〈0.01）. In addition, the hospital time and costs of the treatment group were obviously lower than those of the control group （p 〈0.01）. The scores of physical function, cognitive function, emotional function, role function and social function of the quality of life of the treatment group were higher than those of the control group （p〈0.05）. The incidence ofarrhythmia and complications in the treatment group were significantly lower than those in the control group （P〈0.05）. The intervention of clinical nursing pathway for patients with coronary heart disease complicated with type Ⅱ diabetes could be beneficial to patients for early activity, reduce hospital time and costs, improve the quality of life, and lower the incidence of complications.
出处
《基因组学与应用生物学》
CAS
CSCD
北大核心
2017年第8期3379-3383,共5页
Genomics and Applied Biology
基金
国家自然科学基金(81660429)资助
关键词
临床护理路经
冠心病
Ⅱ型糖尿
介入治疗
生活质量
Clinical nursing pathway, Coronary heart disease, Type Ⅱ diabetes, Interventional
作者简介
通讯作者，1534627936@qq．com
