邹积芹

[摘要] 目的 慢性化脓中耳炎应用临床护理路径临床效果情况分析。方法 便利选取2017年7月—2019年7月该院诊治90例慢性化脓中耳炎患者资料，随机分为两组，对照组予常规护理，研究组予临床护理路径，分析两组心理状态、CRP、住院时间及并发症情况。结果 干预后，研究组SDS（28.23±2.21）分、SAS（29.15±2.36）分比对照组少，差异有统计学意义（t=20.530、19.122，P<0.05）;且研究组CRP（7.33±1.51）mg/L比对照组低，住院时间（7.13±2.52）d比对照组少，差异有统计学意义（t=6.944、5.390，P<0.05）;研究组感染等并发症2.22%比对照组17.78%少，差异有统计学意义（χ2=6.049，P<0.05）。结论 慢性化脓中耳炎应用临床护理路径干预，能有效改善患者心理状态，降低改善C反应蛋白水平，减少其并发症发生，具临床应用价值。

[关键词] 慢性化脓中耳炎;临床护理路径;心理状态;CRP;住院时间;并发症

[中图分类号] R473          [文献标识码] A          [文章编号] 1674-0742（2020）07（a）-0144-03

[Abstract] Objective To analyze the clinical effect of the clinical nursing pathway for chronic suppurative otitis media. Methods The data of 90 patients with chronic suppurative otitis media diagnosed and treated in the hospital from July 2017 to July 2019 were convenient selected and randomly divided into two groups， the control group was given routine care， and the research group was given clinical care path. The psychological status， CRP， hospital stay and complications of the two groups were analyzed. Results After intervention， the study group had less SDS （28.23±2.21）points and SAS （29.15±2.36） points than the control group， and the difference was statistically significant （t=20.530，19.122，P<0.05）; and the study group CRP （7.33±1.51）mg/L was lower than the control group， and the hospital stay （7.13±2.52）d was less than the control group， the difference was statistically significant（t=6.944，5.390，P<0.05）; the infection and other complications in the study group 2.22% was low compared with the control group 17.78%， and the difference was statistically significant （χ2=6.049，P<0.05）. Conclusion Chronic suppurative otitis media using clinical nursing pathway intervention can effectively improve the psychological state of patients， reduce and improve the level of C-reactive protein， reduce the occurrence of complications， with clinical value.

[Key words] Chronic suppurative otitis media; Clinical nursing path; Psychological state; CRP; Hospital stay; Complications

慢性化膿中耳炎疾病主要指机体骨膜、中耳黏膜及骨质慢性的化脓炎症[1-2]。慢性化脓中耳炎疾病的临床表现是鼓膜穿孔、耳流脓、耳鸣、听力降低、眩晕等症状，严重者会发生颅内外并发症，如果不能及时治疗，严重影响患者正常生活质量[3-4]。对慢性化脓中耳炎疾病患者，临床通常采用抗菌药物、手术等方案，但术后患者容易发生并发症[5]。因此，临床在有效治疗的同时，需要重视患者临床护理水平。临床护理路径指临床结合疾病诊治资料等制定护理模式，提供路径标准化的护理流程，从而有效保证患者入院到出院期间得到最佳的护理质量。为探讨临床护理路径对患者的临床护理效果与心理状态，该研究对2017年7月—2019年7月该院诊治90例慢性化脓中耳炎患者临床资料分析，现报道如下。

1  资料与方法

1.1  一般资料

该研究经医学伦理会批准，便利选取该院诊治90例慢性化脓中耳炎患者资料，纳入标准：确诊为慢性化脓中耳炎者，患者签署知情相关同意书，资料完整患者，主动配合患者;排除标准：其他耳部相关疾病者，严重肝肾功能障碍者，恶性肿瘤者，心理精神病者。……