ObjectiveTo investigate the clinical nursing path of health education in patients with gout. MethodsA total of 220 patients with gout treated in People's Hospital of Jiangyou from September 2010 to November 2011 were randomly divided into observation group and control group with 110 patients in each.After routine health education for the control group and clinical nursing path health education for the observation group,we compared patients'compliance with doctors,gout-related indicators and health education satisfaction degree between the two groups of patients. ResultsThere was no statistically significant difference in compliance with doctors between the two groups before health education (P>0.05).After health education,the score of five single items on compliance with doctors and the total score for patients in the observation group were all significantly improved (P<0.05).For patients in the control group,the scores of each item and the total score were also significantly improved (P<0.05) except the item of regular drug-taking and regular health examination (P>0.05).After health education,all scores and the total score of the observation group were higher than those of the control group (P<0.05). ConclusionFor health education for gout patients,clinical nursing path is better than routine health education in scores of compliance with doctors,improvements of symptoms,and health education satisfaction degree of the patients.
ObjectiveTo systematically review the efficacy of clinical nursing pathway (CNP) in patients with esophageal cancer surgery. MethodsDatabases including PubMed, EMbase, The Cochrane Library, Web of Science, CBM, WanFang Data and CNKI were electronically searched to collect randomized controlled trials (RCTs) involving the comparison of CNP with routine nursing pathway in patients with esophageal caner surgery. The retrieval time was from inception to October 2014. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Then data was analyzed by RevMan 5.2 software. ResultsA total of 16 RCTs involving 1 457 patients were included. The results of meta-analyses showed that:compared with the routine nursing pathway, the CNP could increase patients' nursing satisfaction (OR=8.08, 95%CI 5.12 to 12.74, P<0.000 01), the achievement rate of knowledge (OR=4.13, 95%CI 2.44 to 6.98, P<0.000 01) and decrease the incidence of postoperative complications (OR=0.21, 95%CI 0.13 to 0.33, P<0.000 01), the length of hospitalization (MD=-4.57, 95%CI -5.57 to -3.56, P<0.000 01). ConclusionThe clinical nursing pathway can improve patients' nursing satisfaction, the achievement rate of knowledge, it can also reduce the incidence of postoperative complications and the length of hospitalization.
目的 探讨优质护理服务在妇科临床护理路径（CNP）实施中的应用效果。 方法 2010年4月－2011年4月纳入妇科CNP的住院患者中随机抽取150例，并选择同期病区全部17名护士作为对照组；在2011年5月－12月纳入妇科CNP并实施优质护理服务的住院患者中随机抽取150例，并选择同期病区全部22名护士作为试验组。比较两组患者疾病相关知识知晓率、患者及护士工作满意率、平均住院日的差异。 结果 试验组患者疾病相关知识知晓率、患者及护士满意率优于对照组，且平均住院日明显缩短。 结论 优质护理服务应用于改进CNP管理质量，可提高患者疾病相关知识知晓率和护患满意率，缩短住院时间，减轻医疗负担，有利于CNP的实施。
ObjectiveTo explore the effect of clinical nursing pathway on rehabilitation indicators in patients who had undergone transurethral resection of prostate (TURP). MethodsA total of 241 patients underwent TURP between July 2010 and March 2014 were randomly divided into path group (121 cases) and control group (120 cases). The nursing results of the two groups were observed. ResultsThe complication rate of bladder spasm, secondary hemorrhage, urethral stricture in path group were lower than those in the control group with significant differences (P<0.05). ConclusionThe performance of clinical nursing pathway on TURP patients may reduce the complications rate, and promote the health economics indicators and quality of care.
ObjectiveTo systematically review the effetcs of clinical nursing pathway (CNP) in patients with femoral neck fracture. MethodsDatabases including PubMed, The Cochrane Library (Issue 9, 2014), CNKI, VIP and WanFang Data were electronically searched to collect randomized controlled trials (RCTs) about CNP in management of patients with femoral neck fracture from inception to September 2014. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Then, meta-analysis was performed using RevMan 5.1 software. ResultsA total of 24 RCTs involving 1 852 patients were included. The results of meta-analysis showed that: compared with the control group, the time of hospitalization was decreased (MD=-4.47, 95%CI -5.32 to -3.62, P<0.000 01), the patients' nursing satisfaction was increased (OR=5.52, 95%CI 3.75 to 8.14, P<0.000 01), the achievement rate of knowledge was increased (OR=5.97, 95%CI 3.57 to 9.96, P<0.000 01) and the incidence of postoperative complications was decreased (OR=0.34, 95%CI 0.24 to 0.48, P<0.000 01) in the CNP group. ConclusionCNP can reduce the time of hospitalization, improve patients' nursing satisfaction, improve the achievement rate of knowledge, as well as reduce the incidence of postoperative complications. Due to limited quality and quantity of the included studies, the above conclusion need more high quality studies to verify.
Objective To construct a framework and relevant evaluation items for evaluating the core competence of clinical nursing teachers. Methods We explored the whole frame of competence structure and established behavior items for evaluating competences with corresponding level-marking standards through theory analysis, literature study, expert consultation and a small sample test. We also investigated 237 nursing managers, teachers, and students from six medical schools in China using a 5-point Likert-type scale. Item analysis and factor analysis were performed to reveal competence construction and connotation, and the evaluation model for core competence of clinical nursing teachers were constructed. Results Content, structure and internal consistency coefficient were checked for validity. Cronbach＇s alpha of the total system was 0. 9109 and of each domain ranged from 0. 6064 to 0. 8474. Results of Split-half Reliability demonstrated that of total system was 0. 8765 and of each domain ranged from 0. 634 2 to 0. 8369. Conclusions The evaluation model for core competence of clinical nursing teachers is composed of three parts： competence domains, behavior items and their corresponding grade standards. Core competence of clinical nursing teachers consist of four domains：leadership ability, problem-solving ability, teaching ability and nursing ability, each of which contains several behavior items and corresponding four grades standards reflecting different abilities.
ObjectiveTo explore the application and effect of clinical nursing pathway based on information-knowledge-attitude-practice (IKPA) theory in percutaneous renal needle biopsy.MethodsThis is a historical control study. A total of 460 patients who underwent percutaneous renal biopsy in West China Hospital of Sichuan University between April and December 2020 were prospectively recruited as the pathway group, and a clinical nursing pathway based on IKAP theory was implemented. By contrast, the data of 617 patients who underwent percutaneous renal biopsy and received routine care in the same hospital between April and December 2019 were retrospectively collected as the control group. The length of hospital stay, hospitalization expenses, the incidences of postoperative complications (macroscopic haematuria, perirenal hematoma, and acute urinary retention), the incidence of postoperative postural hypotension, and the management enrollment rate of chronic kidney disease patients were compared between the two groups.ResultsThe length of hospital stay [median (lower quartile, upper quartile): 8 (7, 11) vs. 8 (7, 12) d] and the hospitalization expenses [median (lower quartile, upper quartile): 7380.50 (6401.86, 8789.21) vs. 8167.00 (6816.50, 10044.50) yuan] were less in the pathway group than those in the control group, the incidences of postoperative macroscopic haematuria (1.52% vs. 6.97%) and perirenal hematoma (2.61% vs. 5.02%) were lower in the pathway group than those in the control group, the management enrollment rate of chronic kidney disease patients was higher in the pathway group than that in the control group (26.09% vs. 6.16%), and the differences between the two groups were statistically significant (P<0.05). The differences in the incidences of acute urinary retention (8.26% vs. 11.18%) and postoperative postural hypotension (0.00% vs. 0.81%) between the two groups were not statistically significant (P>0.05).ConclusionThe application of clinical nursing pathway in percutaneous renal needle biopsy can effectively reduce the length of hospital stay and hospitalization expenses, and improve the management enrollment rate of chronic kidney disease patients.