浅析下颌骨骨折患者护理中临床护理路径的应用.docxVIP

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浅析下颌骨骨折患者护理中临床护理路径的应用

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【摘要】目的：分析临床护理路径在下颌骨骨折患者护理中的应用效果。方法：随机选取我院2017年1月-2018年1月收治颌骨骨折患者106例，对患者进行临床检查后确诊是下颌骨骨折，并且进行手术治疗。将106例患者随机分为实施临床护理路径的实验组和采用常规护理的对照组，对实验组和对照组的护理效果进行对比分析。结果：试验组患者住院时间、住院费用、健康知识掌握度均优于对照组，差异均有统计学意义（P0.05）；试验组患者并发症发生率为5.7%（3/53），明显低于对照组的30.2%（16/53），差异有统计学意义（P0.05）；试验组患者护理满意度为96.2%（51/53），明显高于对照组的71.7%（38/53），差异有统计学意义（P0.05）。结论：在下颌骨骨折患者护理中应用临床护理路径，能获得较好的临床效果，可有效缩短患者住院时间，减轻经济负担，提升其护理满意度，且并发症少，安全可靠，值得进行深入研究和推广。

【关键词】下颌骨骨折；护理干预；临床护理路径；围手术期

Objective:toanalyzetheapplicationeffectofclinicalnursingpathwayinthenursingofpatientswithmandibularfracture.Methods:106casesofmaxillofacialfracturewererandomlyselectedinourhospitalinJanuary-2018January2017,andthepatientswerediagnosedasmandibularfractureafterclinicalexamination,andtheoperationwasperformed.106patientswererandomlypidedintotheexperimentalgroupandthecontrolgroupwhichadoptedtheroutinenursing.Thenursingeffectoftheexperimentalgroupandthecontrolgroupwascomparedandanalyzed.Results:thepatientsinthetestgroupwerebetterthanthecontrolgroup,andthedifferencewasstatisticallysignificant(P0.05).Theincidenceofcomplicationsintheexperimentalgroupwas5.7%(3/53),whichwassignificantlylowerthanthatofthecontrolgroup(30.2%(16/53)),andthedifferencewasstatisticallysignificant(P0.05);thepatientsintheexperimentalgroupwerefullofnursingcare.Thedegreeofconsciousnesswas96.2%(51/53),whichwassignificantlyhigherthanthatofthecontrolgroup(71.7%)(38/53),andthedifferencewasstatisticallysignificant(P0.05).Conclusion:theapplicationofclinicalnursingpathinthenursingofmandiblefracturecangetbetterclinicaleffect.Itcaneffectivelyshortenthetimeofhospitalization,reducetheeconomicburden,improvethesatisfactionofnursing,andthecomplicationsarefew,anditissafeandreliable.Itisworthyoffurtherstudyandpopularization.

[Keywords]mandibularfracture;nursingintervention;clinicalnursingpathway;perioperativeperiod.

作为临床上一种常见骨折类型，下颌部骨折的发病率较高，约为颌面部损伤的50%～70%。当前，临床上多采用手术方法对下颌部骨折进行治疗，而辅以良好护理干预能有效促使患者术后尽快康复[1]。临床护理路径是现代护理管理的重要组成部分，强调在