The Applied Research Of Clinical Nursing Pathway In Treatment For Children Patients With HSP

Research purposes: by applying clinical nursing pathway model in the treatment of Henoch-Schonlein purpura,HSP in children to determine can be applied in this kind of disease treatment standards of clinical nursing path. Combination of Henoch-Schonlein purpura in children with symptoms of recovery time, rashes subside, improve nursing quality, reduce hospitalization days and cost impact. Explore practical, effective and feasible for children with Henoch-Schonlein purpuraclinical nursing pathway. At the same time to build a harmonious nursing team, build scientific nursing mode.Methods: set up expert group, which is based on clinical data, based on evidence-based medicine method, for children with Henoch-Schonlein purpura treatment doctors version, in the process of care and children’s version of clinical nursing path. Through training, participation in clinical nursing pathway of team members to master operation procedures. Through the same cohort study on clinical trial method, through strict built into and exclusion criteria, selection of clinical nursing path can enter the cases. Selection in September 2014 to August 2015 were 153 cases of children with Henoch-Schonlein purpura as to study the clinical pathway group, experimental group of children aged 3 ~ 14 years old, average 5.86 + /- 1.99, 30 cases of female, male, 48 cases. Control group in children aged 3 ~ 14 years old, average 6.36 + /- 2.33, female 30 cases of male 45 cases. By the statistical tests, the experimental group and control group with gender and age, there was no significant difference(P > 0.05), statistically comparable.Experimental group according to the pre-determined nursing path form of clinical nursing path model, the control implement traditional nursing mode. By evaluating rashes subside time, satisfaction of nursing work, the child’s health knowledge, children with such confinement, children in hospital, the nurse records indicators such as time, to observe changes in quality of care in clinical nursing path mode. Research results: the experimental group rashes subside time of children is less than that of control group(P < 0.0001). The experimental group of children for nursing score were significantly higher than control group(P < 0.0001). After two groups of children in different nursing mode, the child health knowledge mastering in before discharge measured points are: 70.48 points and 80.03 points, the t test analysis, there are statistically significant differences(P < 0.0001). Using t test to compare two groups of children with length of hospital stay, the length of hospital stay the results showed that the experimental group is less than that of control group, with significant difference( P < 0.0001). Using t test to compare two groups of children in hospital costs, the results showed that the experimental group of hospitalization cost significantly less than control group, with significant difference( P < 0.0001). Using t test of two groups of children with nurse writing of nursing record time comparison, the results showed that the experimental group of nurse time writing of nursing record is less than that of control group, with significant difference(P < 0.0001).