摘要
目的评价中西医结合临床护理路径在急性上消化道出血绿色通道中的应用效果。方法选取2017年2月-2019年3月广东省中医院急诊科就诊并进入绿色通道的急性上消化道出血患者252例为研究对象,根据就诊先后顺序分为观察组(127例)和对照组(125例)。对照组采用常规急诊绿色通道护理流程进行急救护理,观察组采用前期已构建的中西医结合临床护理路径进行急救护理。比较两组患者的急诊门诊停留时间、急诊门诊费用、中医护理技术使用率。结果观察组急诊门诊停留时间短于对照组,差异有统计学意义(P<0.05);观察组急诊门诊费用低于对照组,差异有统计学意义(P<0.05);观察组中医治疗与护理技术使用率高于对照组,差异有统计学意义(P<0.05)。结论在急诊绿色通道中实施中西医结合临床护理路径能够有效缩短急性上消化道出血患者的急诊门诊停留时间,降低急诊门诊费用,提高绿色通道效率,并且有利于中医治疗与护理技术的使用和推广。
Objective To evaluate the application effect of integrated Chinese and Western medicine nursing pathway in the green channel of acute upper gastrointestinal bleeding.Methods From February 2017 to March 2019,252 patients with acute upper gastrointestinal bleeding admitted to the Department of Emergency,Guangdong Provincial Hospital of Chinese Medicine and entered the green channel were selected as subjects.The patients were divided into observation group(127 cases)and control group(125 cases)according to the sequence of medical treatment.The control group adopted the conventional emergency green channel nursing process for first aid nursing,while the observation group adopted the pre-constructed clinical nursing path of integrated traditional Chinese and Western medicine for first aid nursing.The duration of emergency outpatient service,expenses of emergency outpatient service,utilization rate of traditional Chinese medicine nursing technology were compared between the two groups.Results The duration of emergency outpatient servcce in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The expenses of emergency outpatient service in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The utilization rate of traditional Chinese medicine nursing technology in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of integrated Chinese and Western medicine clinical nursing pathway in the emergency green channel can effectively shorten the duration of emergency outpatient service for patients with acute upper gastrointestinal bleeding and reduce the expenses of emergency outpatient service.It also improves the efficiency of the green channel and is beneficial to the use and popularization of traditional Chinese medicine treatment and nursing technology.
作者
武健
邓秋迎
WU Jian;DENG Qiuying(The Second Clinical Medical College,Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou510405,China;Department of Emergency,Guangdong Provincial Hospital of Chinese Medicine(the Second Affiliated Hospital of Guangzhou University of Chinese Medicine),Guangdong Province,Guangzhou510120,China)
出处
《中国医药导报》
CAS
2020年第25期172-175,共4页
China Medical Herald
基金
广东省科学技术厅资助项目(2016ZC0123)。
关键词
急性上消化道出血
中西医结合
临床护理路径
绿色通道
Acute upper gastrointestinal bleeding
Integrated traditional Chinese and Western medicine
Clinical nursing pathway
Green channel
作者简介
武健(1990.3-),男,广州中医药大学第二临床医学院2017级护理学专业在读硕士研究生,研究方向:急诊护理,手术室护理;通讯作者:邓秋迎(1969.9-),女,硕士,主任护师,广东省中医院(广州中医药大学第二附属医院)急诊科护士长,研究方向:急诊护理,临床教学。
