中文摘要：

目的 探讨临床路径护理对住院大叶性肺炎患儿依从性及临床疗效的作用.方法 将收治的124例住院大叶性肺炎肺炎患儿随机分为临床路径组与常规护理组,常规护理组患儿给予大叶性肺炎常规护理,临床路径组患儿则依据临床路径在不同时间给予相应护理措施,比较两组患儿护理依从性、治疗有效率及平均住院时间.结果 临床路径组患儿按时服药、功能锻炼、饮食调理、自我监测4个方面依从性得分均显著高于常规护理组（P＜0.05）;临床路径组治疗有效率显著高于常规护理组（P＜0.05）,平均住院时间显著低于常规护理组（P＜0.05）.结论 对住院大叶性肺炎患儿应用临床路径护理有助于提高患儿及家属的依从性,从而提高治疗的有效率并缩短住院时间,可在临床推广应用.

英文摘要：

Objective To investigate the role of clinical pathway nursing on adherence and clinical efficacy of hospi- talized children with lobar pneumonia. Methods 124 hospitalized children with lobar pneumonia were randomly divided into the clinical pathway group and the usual care group. The children of the usual care group received routine care, while the clinical pathway group of children received the appropriate care measures on basis of clinical path in different time. The children care compliance, treatment efficiency and the average length of stay were observed. Results Four aspects adherence scores of taking medication, functional exercise, diet conditioning and self-monitoring of clinical pathway group were significantly higher than that of the usual care group （P〈0.05）. The efficient rate of clinical pathway group was significantly higher than that of the usual care group （P〈0.05）, and the average length of stay of clinical pathway group was significantly shorter than that of the usual care group （P〈0. 05）. Conclusion Application of clinical pathways care in hospitalized children with lobar pneumonia can help improving the of children and their families compliance and increasing treatment efficiency and shorten hospital stays.