临床路径对有创手术心肌梗死患者提高护理质量的作用

Sheren Elsayed Shrief, Laila Abdelnaby Hamed
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引用次数: 0

摘要

心肌梗塞是指心肌组织由于长期缺氧和缺氧而死亡。临床路径已经成为最著名的新举措之一,声称降低成本,同时保持甚至提高病人护理的满意水平。目的:通过临床路径干预的设计、实施和效果评估,评估临床路径对提高有创手术心肌梗死患者护理质量的作用。设计:本研究采用准实验研究设计(前测后测)。研究地点:本研究在Beni-suef大学医院、Zagazig大学医院进行。样本:前文提到的30名护士和30名住院接受有创手术的心肌梗死患者。工具:评估问卷(前/后测试)表、观察性检查表、汉密尔顿焦虑评定量表(HAM-A)。结果:50%以上的受访护士年龄在20 ~ 30岁之间,平均年龄为(29.1±3.4)岁,女性占66.9%,接受过护理院校培训,工作年限在5 ~ 10年之间。在临床路径应用前和应用后,被研究护士的知识和实践能力有统计学上的显著差异。建议:为了更好地评估护士的能力,应该进行额外的新研究,并向所有护士分发教育小册子、小册子和海报,以提高他们的知识和技能程度。关键词:临床路径,优质护理,患者,心肌梗死。
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Effect of clinical pathway regarding promoting quality nursing care of patients with myocardial infarction exposed to invasive procedures
Myocardial infarction is the death of myocardial tissue because of extended lack of blood and oxygen. Clinical pathway has emerged as one of the most famous new initiatives alleged to lower costs whilst maintaining or even improving the satisfactory level of patient care.Aim: to assess the effect of clinical pathway regarding promoting quality Nursing care of patients with MI exposed to invasive procedures through designing, Implementing, and evaluating the effect of clinical pathway intervention.Design: A quasi-experimental research design (pre posttest) changed into applied in this study.Setting: The study has been carried out in Beni-suef university Hospital, Zagazig University Hospitals.Sample: thirty nurses from the previously mentioned setting and thirty patients with myocardial infarction who are hospitalized and exposed to invasive procedures.Tools: Assessment questionnaire (pre/post test) sheet, An Observational Checklist, and Hamilton Anxiety Rating Scale (HAM-A).Results: more than fifty percent of a studied sample of nurses their ages ranged from 20-30yrs, the mean age was (29.1±3.4), females (66.9%), and have been trained in nursing college, their work experience ranged from half to one decade. There has been a statistically significant distinction concerning knowledge and practical abilities of studied nurses among pre and post application of clinical pathway. Recommendations: Extra new studies should be done for better assessment of the nurse's abilities and distribute educational booklets, pamphlets, and posters to all nurses with a purpose to enhance their degree of knowledge and skills.   Keywords: Clinical Pathway, Quality Nursing Care, patients, and Myocardial Infarction.
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