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Application effect of clinical nursing rehabilitation pathway in rehabilitation of adult patients with large area burns |
LIU Yan LIU Jun-jun▲ WANG Yu-ying TANG Yuan-yan |
Department of Outpatient,the Chest Hospital of Jingzhou City,Hubei Province,Jingzhou 434000,China |
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Abstract Objective To observe the application effect of clinical nursing rehabilitation pathway in rehabilitation of adult patients with large area burns. Methods A total of 90 adult patients with extensive burn which admitted to our hospital from October 2017 to December 2018 were selected and divided into two groups according to random number table method,45 cases in each group.The control group received routine nursing intervention,and the observation group received clinical nursing rehabilitation intervention.The hospital stay time and hospital expenses of the two groups were compared,and the health knowledge,treatment satisfaction,burn wound scar status and post-intervention quality of life of the two groups were compared.The negative emotional changes of the two groups before and after intervention were compared. Results There was no significant difference in body image score between the two groups after intervention (P>0.05),but the other quality of life scores in the observation group were higher than those in the control group,the differences were statistically significant (P<0.05).The hospital stay in the observation group was shorter than that in the control group,the hospitalization cost was less than that in the control group,the vancouver scar scale (VSS) score was lower than that in the control group,and the satisfaction and health knowledge awareness scores were higher than those in the control group,the differences were statistically significant (P<0.05).There was no significant difference in Hamilton anxiety scale (HAMA) score between the two groups before intervention (P>0.05).There was no significant difference in the comparison of the control group before and after the intervention (P>0.05).The scores of the HAMA factors in the observation group were lower than those of before the intervention and the control group,the difference were statistically significant (P<0.05).Conclusion The clinical nursing rehabilitation pathway can significantly improve the satisfaction and health knowledge of adult patients with large area burns,significantly improve wound scar,quality of life and negative emotions,shorten the length of hospitalization and reduce the cost of hospitalization.
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[1] |
黎宁,王丽华.早期多学科团队康复治疗模式在大面积烧伤患者中的应用及效果分析[J].中国护理管理,2018,18(1):125-129.
|
[2] |
岳丽青,王晓燕,彭欢,等.康复路径对深度烧伤手术后康复效果的影响[J].中国现代医学杂志,2016,26(7):126-132.
|
[3] |
黄燕君.人文关怀联合临床护理路径在护理管理模式中的应用[J].中国基层医药,2018,25(7):940-943.
|
[4] |
刘海兵,唐丹,曹海燕,等.温哥华瘢痕量表的信度研究[J].中国康复医学杂志,2006,21(3):240-242.
|
[5] |
何晓春,孙充洲,吴礼孟,等.多学科协作模式在大面积烧伤患者中的应用[J].当代护士,2018,25(10):46-48.
|
[6] |
吴蓉蓉.临床护理路径在手部烧伤瘢痕挛缩修复中的应用效果[J].交通医学,2018,32(5):519-520.
|
[7] |
陈莹,汪晓俊,张育奇,等.快速康复外科对手部烧伤畸形矫正术后康复效果研究[J].护理与康复,2016,15(11):1069-1071.
|
[8] |
李玲霞,李丹丹,王淼.前臂及手部深度烧伤整复的临床康复护理干预研究[J].中国医疗美容,2018,8(2):85-88.
|
[9] |
裴军强.临床路径护理模式对降低患者负性心理的作用[J].实用临床护理学杂志,2016,1(10):174-175.
|
[10] |
古芝燕.护理干预对深度烧伤患者术后功能性恢复以及疼痛程度的影响[J].实用临床医药杂志,2017,21(20):90-93.
|
[11] |
方璐,刘小芳,孙天宝.强化自我管理能力在大面积烧伤康复早期的应用研究[J].中国康复医学杂志,2016,31(10):1133-1135.
|
[12] |
陈少娴,欧洁珍,陈中坚,等.延续护理干预对重度烧伤出院患者治疗依从性的影响[J].齐齐哈尔医学院学报,2016,37(5):662-665.
|
[13] |
陈琛,陆巍,傅巧美,等.成人烧伤患者创面操作性疼痛护理与管理的证据综合[J].护理学杂志,2017,32(16):16-20.
|
[14] |
王峰,范锟铻,汪道新.等.焦虑、抑郁情绪对烧伤后创面愈合及机体验证反应的影响[J].中国当代医药,2015,22(6):27-29.
|
[15] |
庞久玲,刘爱东,张静涛,等.心理护理干预对老年大面积烧伤患者领悟社会支持影响的临床研究[J].护士进修杂志,2011,26(12):116-117.
|
|
|
|