保忠艽

【摘要】目的：对比常规护理和临床路径在肾病综合征患者护理中的临床效果。方法：于我院肾内科选取74例已经被确诊为肾病综合征的患者作为实验研究对象，其均符合肾病综合征临床诊断标准，可入组参与实验。而且在入组后，采取随机数表法将74例患者随机分配为使用不同护理措施的对照组和观察组，每组37例患者，分别使用常规护理、临床路径护理，对比两种不同护理措施下的临床效果。结果：据实验研究，应用临床路径的观察组，患者住院时间、住院费用、健康教育达标率、护理满意度、肾病综合征复发率等观察指标均显著优于对照组，数据间存在统计学意义（P<0.05）。结论：在肾病综合征护理中应用临床路径护理，可以显著提升护理质量。

【关键词】肾病综合征;常规护理;临床路径;实际价值

【中图分类号】R473.6 【文献标识码】A 【DOI】10.12332/j.issn.2095-6525.2021.03.158

【Abstract】Objective：To compare the clinical effect of routine nursing and clinical pathway in the nursing of patients with nephrotic syndrome. Methods： 74 patients with nephrotic syndrome were selected as the experimental research objects in the Department of Nephrology of our hospital. They all met the clinical diagnostic criteria of nephrotic syndrome and could be included in the experiment. And after entering the group， 74 patients were randomly divided into the control group and the observation group using different nursing measures by random number table method， with 37 patients in each group， using routine nursing and clinical pathway nursing respectively， and the clinical effects of two different nursing measures were compared. Results： according to the experimental study， the observation indexes of the clinical pathway application group， such as the length of stay， hospitalization expenses， health education compliance rate， nursing satisfaction， nephrotic syndrome recurrence rate， were significantly better than those of the control group， with statistical significance between the data （P < 0.05）. Conclusion： the application of clinical pathway nursing in nephrotic syndrome nursing can significantly improve the quality of nursing.

【Key words】nephrotic syndrome; routine nursing; clinical pathway; practical value

前言

對于肾病综合征患者来说，良好的护理干预措施也是促进其护理质量持续提高的关键，但据实际应用情况来看，常规护理措施效果往往比较差强人意，因此亟待应用更加科学、合理的护理方法。本次对照实验中便对比分析了常规护理和临床路径护理在肾病综合征中的实际应用情况。

1   资料与方法

1.1一般资料

选取74例肾病综合征患者作为实验研究对象，其均符合肾病综合征诊断标准，收治时间为2020年2-12月，患者精神意识正常，可无障碍交流，家属同意入组参与实验，已签署相关知情同意书;同时患者无精神类病史、依从性差等问题。……