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Objective To explore the effects of the application of grading health education path for the patients with PICC catheter in hematology department. Methods From March to October 2016,a total of 101 patients with PICC catheter in hematology department were recruited and randomly divided into the experimental group (50 cases) and the control group (51 cases) according to different nursing groups. The control group was implemented traditional health education mode while the experimental group was implemented health education path in stages. The disease related knowledge and the PICC catheter maintenance knowledge, satisfaction of health education and the incidence of catheter related complications after intervention between the two groups were compared. Results About the PICC catheter maintenance knowledge, the experimental group got scores : 80-100, a median of 95, a rank 76.38 on average, while the control group:30-80, a median of 50, the average rank 26.12, which indicated statistical significance (χ2=76.618,P<0.01). Satisfaction scores: the experimental group got scores: 70-100, a median of 100, a rank 73.80 on average, the control group: 30-100, a median of 70, the average rank 28.65, the experimental group was significantly higher than the control group (χ2=63.364,P<0.01). For the catheter-related complications, the experimental group was 2.00％(1/50), while 15.69％(8/51) in the control group, there was statistically significant (χ2=4.262,P < 0.05). Conclusions Implementing the grading health education path for patients with PICC catheter can obviously improve the patients of PICC catheter maintenance knowledge and satisfaction with respect to the manner of health education, at the same time can reduce the related complications of catheter.
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Objective To evaluate the efficacy of clinical nursing path in the application of endoscopic colon polyps resection patients. Methods Computer retrieval Chinese database to search relevant randomised controlled trials or clinical controlled trials. Two authors independently screened paper,extracted data and conducted to evaluate quality of literature,finally the meta-analysis was used by the Revman5.3 to analyze the data. Results A total of 13 articles were included. The results of Meta analysis showed that: compared with control group, the CNP group had the significant advantage of a shorter average length of hospital stay(colon polyps group:WMD=0.02,95% CI-3.14--0.91,P<0.01);colon polyps group: WMD = 2.57, 95% CI-2.77--2.36, P < 0.01), the lower average inpatient expenditure (colon polyps group: SMD = 9.98, 95% CI-14.55--5.44, P < 0.01); colon polyps group:SMD=4.57,95% CI-7.37--1.77,P<0.01),the higher nursing satisfaction(OR=5.03,95% CI 3.21-7.90,P<0.01),the higher degree of mastering knowledge(OR=5.31,95% CI 2.08-13.55,P<0.01)and the lower postoperative complications(OR=0.18,95% CI 0.06-0.55,P<0.01). Conclusions Clinical nursing pathway in patients with endoscopic colon polyps resection application effect is superior to the traditional nursing method. Because the quality of literature contained was not high, we still need more large sample,randomized controlled trials of high quality to further verification.
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Objective To investigate the clinical nursing path (CNP) effect on the medication compliance of patients with newly diagnosed tuberculosis. Methods 100 patients with tuberculosis from March 2016 to September were randomly divided into control group and experimental group, each group of 50 people, control group received routine nursing care. The experimental group adopted clinical nursing pathway, compared to the compliance of the two groups. Results The control group compliance of primary treated tuberculosis patients was 76%, the compliance of the experimental group of primary treated tuberculosis patients was 94%, the experimental group of drug therapy compliance was significantly higher than the control group, and Conclusion there is a statistical difference (P<0.05). Conclusion The clinical nursing pathway (CNP) can effectively improve the medication compliance of the newly diagnosed TB patients.
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Objective To investigate the clinical nursing path (CNP) effect on the medication compliance of patients with newly diagnosed tuberculosis. Methods 100 patients with tuberculosis from March 2016 to September were randomly divided into control group and experimental group, each group of 50 people, control group received routine nursing care. The experimental group adopted clinical nursing pathway, compared to the compliance of the two groups. Results The control group compliance of primary treated tuberculosis patients was 76%, the compliance of the experimental group of primary treated tuberculosis patients was 94%, the experimental group of drug therapy compliance was significantly higher than the control group, and Conclusion there is a statistical difference (P<0.05). Conclusion The clinical nursing pathway (CNP) can effectively improve the medication compliance of the newly diagnosed TB patients.
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Objective To study the effect of clinical nursing path with graph and text instructions (GTI) on health education to patients with complex retinal detachment.Methods Toally 76 inpatients with complex retinal detachment were enrolled in the study:38 of them hosptalized from March to August 2015 were put in the control group received routine treatment and the others hosptalized from September 2015 to March 2016 as the experiment group treated with GTI.The clinical outcomes were compared.Result The patients treated with GTI were better in the knowledge of the complex retinal detachment and moreover,they felt significantly more satisfied compared to that of the control group (P＜0.05).Conclusion It is beneficial to use GTI in the patients with complex retinal detachment.GTI is effective for improving their knowledge on the disease,and increasing their satisfaction with the clinical nursing.
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Objective To evaluate the effect of the clinical nursing path integrated with the holistic nursing on advanced schistosomiasis patients with ascites. Methods A total of 226 advanced schistosomiasis patients with ascites were randomly di?vided into a control group and an experimental group (113 cases each group). The subjects in the experimental group were nursed by the clinical nursing path integrated with the holistic nursing,while those in the control group were nursed only by the holistic nursing. Then the clinical relevant indexes of the two groups were observed,and the quality of life of the patients before and after hospital discharge was assessed. Results The improvement rate,satisfaction degree,and awareness rate of health knowledge of the patients in the experiment group were 93.8%,100%and 97.4%,respectively,which were significantly higher than those of the control group(all P<0.05). The mortality rate and the complication rate of the patients in the experimental group were 0 and 2.7%,respectively,which were significantly lower than those of the control group(both P<0.05). In addi?tion,the average hospitalization days and the hospitalization cost of the experiment group were(12.2 ± 0.7)d and(4 725.0 ± 310.1)Yuan respectively,which were less than those of the control group(both P<0.01). When 6 months after the discharge from hospital,the quality of life of the patients in the experimental group in various fields was significantly better than that of the control group(all P<0.05). Conclusions The clinical nursing pathway integrated with holistic nursing can effectively improve the improvement rate and decrease the mortality of the advanced schistosomiasis patients with ascites;meanwhile,it can short?en the hospitalization time and save the hospitalization cost. Therefore,this nursing model is suitable for popularization and ap?plication in the treatment and nursing work of the advanced schistosomiasis assistance.
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Objective To explore the clinical nursing path teaching method application in children with mycoplasma pneumonia and its effect.Methods 93 higher vocational nursing students of two classes of Grade 2011 were chosen as the subjects,one class as the experimental group(46),and the other class as the control group(47).The traditional teaching method was used in the control group,while method of clinical nursing path was used in the experimental group.Two groups of nursing students were given closed book exams and questionnaires to evaluate teaching effectiveness of the two groups.SPSS 13.0 was used for statistical analysis,count data using x2 test,measurement data using t-test,test level α=0.05.Results The experimental group students' test scores were significantly higher than the control group(85.26 ± 3.57)vs.(76.39 ± 4.16),and the difference was statistically significant P=-0.02.The survey showed that there were more students in the experimental group than in the control group who made a positive comment on the questionnaire's role in helping improve students'learning autonomy,their critical thinking ability,and promote their grasp of the content of the disease.Conclusion Clinical nursing path teaching method as a new kind of teaching method,can improve the teaching effect.
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Objective To study the effect of the health education path on health education in patients with diabetes.Methods According to random number table method,100 type 2 diabetes mellitus(T2DM)patients were divided into control group and health education path group.Health education path group received health education through the health education path and the control group by traditional methods.The rate of diabetes-related knowledge mastery and the control of blood glucose in two groups were compared. Result The rate of diabetes-related knowledge mastery and the control of blood glucose in the health education path group were significantly better than those of the control group(P<0.05,for both).Conclusion Health education according to health education path to the patients with diabetes can increase the degree of knowledge and the control effect of blood sugar.
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Objective To study the effect of clinical nursing path(CNP)on the swallowing training of stroke patients with neural deglutition disorders.Methods Sixty stroke patients with neural deglutition disorders were recruited from January 2012 to October 2012 in the department of neurology of our hospital.The patients were divided into two groups according to the sequence of admission:the experiment group(n=30)and the control group(n=30).CNP was applied in the experimental group and the traditional nursing approach in the control.The two groups were compared in terms of the improvement of deglutition disorder.Result The effective rate of the experiment group was significantly higher than the rate of the control group(P<0.05).Conclusion CNP is effective in improving stroke patients’neural deglutition disorders and enhancing their life quality.
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Objective To evaluate the effects of clinical nursing path on respiratory function exercise of patients with esophageal carcinoma.Methods A total of 60 postoperative patients with esophageal cancer were divided into the observation group and the control group according to the time period with 30 cases in each group.The observation group was given the clinical nursing pathway care in their respiratory exercise,and the control group routine nursing before and after the operation. The two groups were compared in terms of blood gas analysis implement on 5th day,pulmonary function on 10 th day and pulmonary complications after operation.Results PaO2,VC,MVV,FEV1 and FEV1/FVC in the observation group were much better than those of the control group.The incidence of complications was obviously lower than that of the control group(P<0.05). Conclusion Clinical nursing path used in respiratory function training of perioperative patients is effective for the improvement of pulmonary function and reduction of postoperative complications.
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Objective To evaluate the effect of clinical nursing path on hospital stay and hospitalization expenses of patients with ovarian cyst treated with laparoscopic resection.Methods Meta-analysis was conducted by retrieving the databases of Pubmed, Google,CNKI and Wangfan database.All randomized controlled trials about clinical pathways in patients with ovarian cyst treated with laparoscopic resection were included.RevMan 5.2 was used for statistical analysis.Results Ten papers and 1,002 patients were included.There were statistical differences in hospital stay and hospitalization expenses by meta-analysis.Conclusion The clinical nursing path can reduce hospital stay and hospitalization cost of patients with laparoscopic resection.
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Objective To analysis the TURP syndrome occurred in hysteroscopy surgery clinical nursing pathway. Methods According to different to our hospital nursing path of 56 women underwent hysteroscopic surgery patients were di-vided into observation group and control group.In patients with excessive hydration syndrome (TURP) chance to compare. Results two groups of patients, compared the clinical effect of observation group was better than control group , significantly fewer number of patients, TURP syndrome (p<0.05).Observation group of palace pressure, fluid volume expansion palace, palace velocity is lower than the control group, the difference is statistically significant, p<0.01).Conclusion establishing a clinical nursing path to prevent hysteroscopy surgery complicated with excessive hydration syndrome , at the same time can effectively guide the clinical nursing work, improve the hysteroscopy surgery patients, and reduce the incidence of the exces-sive hydration syndrome.
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Objective To investigate the clinical nursing path on the psychological status of cerebral infarction patients hospitalized for the first time.Methods Two hundred cerebral infarction patients hospitalized for the first time were equally randomized into the observation group and control group:the former used conventional nursing method and the latter a clinical nursing path.The self-rating depression scale(SDS)and self-rating anxiety scale(SAS)were used to assess their psychological state.Results After intervention,the scores on SDS and SAS in the former group were significantly lower than those in the latter group(all P<0.05). The satisfaction rate in the former was higher than that of the control(P<0.05).Conclusion The clinical nursing path makes it possible to effectively alleviate the psychological burden of the cerebral infarction patients hospitalized for the first time and improve the patients’satisfaction with nursing working.
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Objective To explore the effect of clinical nursing path (CNP) on stroke patients. Methods 80 stroke patients were divided into control group and experimental group with 40 cases in each group. The control group received functional nursing, while the experimen-tal group received care in accordance with the design of CNP map. Results The mastery rate of health knowledge and the satisfaction rate were higher, and the hospitalization time was shorter in the experimental group than in the control group (P<0.05). Conclusion The imple-mentation of CNP could increase the mastery degree of health knowledge, improve the satisfaction rate of patients for nursing service, and shorten the hospitalization time.
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Objective To explore the application effect of the model of clinical nursing path management in clinical nursing. Methods A comparative study was conducted of the clinical nursing paths respectively with regard to patients who had received thyroid adenoma resection and with regard to patients who had received hysteromyomectomy. Results In the experimental group involving clinical nursing path management, the average length of stay was shortened, pre operation days were reduced, and the average hospitalization expenses were lowered while the satisfaction rate of patients with thyroid adenoma rose by 2.18%, reaching 98.96% and that of patients with hysteromyoma rose by 2.87%, reaching 99.55%. At the same time, clinical nursing path management also enhanced the job satisfaction of nurses. Conclusion It is viable to adopt the model of clinical nursing path management in clinical nursing in China.