目的 探讨图文方式的临床护理干预在原发性青光眼患者中的应用效果.方法 选择青光眼患者60例为研究对象,其中30例患者采用常规护理为对照组,30例患者采用图文式护理为干预组.比较两组的住院天数、相关知识的掌握情况以及生活质量情况.结果 干预组的住院时间(9.1±2.5)d短于对照组(13.3±3.8)d,住院费用(4219.7±418.8)元少于对照组(4892.4±668.3)元(P均<0.05).干预组的满意度(44.8±3.1)分及对青光眼疾病知识掌握情况(17.1±2.8)分显著优于对照组[(40.5±4.4),(13.8±2.1)]分(P均<0.05).干预组出院时生活质量总分(117.3±31.8)分、症状与视功能评分(52.1±11.8)分、精神心理评分(20.6±7.2)分,优于对照组,差异有统计学意义(P < 0.05).结论 将图文式临床护理路径应用于原发性青光眼的护理中,能够缩短住院天数、降低住院费用、提高患者满意度以及患者对相关知识的掌握情况,并提高患者的生活质量.
Objective To discuss clinical efficacy of clinical pathway charter for primary glaucoma care. Methods Selected 60 cases with primary glaucoma were divided into two groups. Control group received normal care. Intervention group received clinical pathway charter. Length of stay, master of knowledge, quality of life were compared between two groups. Results Length of stay of intervention group (9.1±2.5)d was shorted than control group (13.3±3.8 d), hospital fee (4219.7±418.8 yuan) was less than control group (4892.4±668.3) yuan (P 〈 0.05). Satisfaction (44.8±3.1), master of knowledge (17.1±2.8) of intervention group were better than control group (40.5±4.4, 13.8±2.1) (P 〈 0.05). Quality of life (117.3±31.8), symptoms and visual function score (52.1±11.8), mental score (20.6±7.2) had significant differenee between two groups (P 〈 0.05). Conclusion Clinical pathway charter for primary glaucoma care can shorten length of stay, decrease hospital fee, improve satisfaction and knowledge mastering, and improve quality of life.