田甜

[摘要] 目的 研究腦出血患者健康教育中应用临床护理路径的临床效果，并分析患者对护理路径的护理满意度。方法方便选择该院2014年2月—2016年3月期间所收治的82例脑出血患者作为该次研究病例，按照随机数字表法对其进行分组，研究组与对照组各41例，对照组应用常规护理方法进行护理，研究组采取健康教育的临床护理路径，观察两组患者的临床护理满意度，并比较两组患者掌握相关知识技能与态度行为改变情况。 结果 研究组掌握相关知识技能患者为39例，与对照组（21例）比较，研究组患者95.12%与参照组患者51.22%对比，差异有统计学意义（P<0.05），研究组态度行为改变率为92.68%，显著高于对照组56.09%，组间对比差异有统计学意义（χ2=20.127 3，14.402 8，P<0.05），且研究组非常满意21例，一般满意18例，对照组非常满意19例，一般满意13例，研究组护理满意度为95.12%，显著高于对照组（78.04%），组间比较差异有统计学意义（χ2=5.144 7，P<0.05）。 结论 临床护理路径应用在脑出血患者健康教育中的效果显著，能够有效改善患者的临床症状，提高患者的健康知识掌握情况与健康知识掌握情况，值得临床进一步应用与探索。

[关键词] 脑出血;健康教育;临床护理路径

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0151-03

Clinical Nursing Pathway Applied to Health Education in Patients with Cerebral Hemorrhage

TIAN Tian

Department of Internal Medicine， Tengnan Hospital， Zaozhuang Mining Group， Jining， Shandong Province， 277606 China

[Abstract] Objective To study the clinical effect of clinical nursing pathway in the health education of patients with cerebral hemorrhage and to analyze the nursing satisfaction of the patients. Methods 82 patients with cerebral hemorrhage who were admitted to the hospital from February 2014 to March 2016 were convenient selected as the study case. They were grouped according to the random number table method. There were 41 cases in the study group and the control group respectively. Routine nursing methods were used for nursing in the control group. The study group took a health care clinical nursing path， observed the clinical nursing satisfaction of the two groups of patients， and compared the changes in the knowledge， skills， and attitudes of the two groups. Results The study group had 39 patients with related knowledge and skills. Compared with the control group （21 cases）， 95.12% of patients in the study group and 51.22% of the reference group the difference was statistically signfican（P<0.05）. The attitude and behavior change rate of the study group was 92.68%， significantly higher than the control group （56.09%）， the difference was statistically signfican （χ2= 20.127 3， 14.402 8， P<0.05）， and the study group was very satisfied with 21 cases， generally satisfied with 18 cases， the control group was very satisfied with 19 cases， generally satisfied with 13 cases， the study group care satisfaction was 95.12%， significantly higher than the control group （78.04%）， the difference was statistically signfican （χ2= 5.144 7， P<0.05）. Conclusion The application of clinical nursing route in the health education of patients with cerebral hemorrhage has a significant effect， which can effectively improve the patient's clinical symptoms， improve the patient's health knowledge and master the health knowledge， and is worthy of further clinical application and exploration.

[Key words] Cerebral hemorrhage; Health education; Clinical nursing pathway

临床护理路径是根据护理标准制定的护理计划，此护理计划主要是根据患者的实际情况指定的，另外，与患者个人的情况与身体条件相适应的护理计划。临床护理路径能够在医护人员指导下展开护理工作[1]，实施健康知识宣传教育。健康教育是通过向患者传达有关病症方面的知识与护理技巧，以此来改变患者对疾病的错误认知，对患者进行护理措施[2-3]，能够有效提高患者的健康水平。脑出血是威胁人类健康的疾病之一，若不能有效的治疗与采取相应的护理措施，则会严重威胁患者的生活与身体健康[4]。为此，需要提高患者与家属的防范意识，自我护理能力等，只有这样才能降低患者的病死率[5]。该文就该院2014年2月—2016年3月期间收治的82例患者实施临床护理路径，分析在脑出血患者健康教育中的作用进行分析，现将报道如下。……