| Objective:The purpose of this study was to explore the clinical nursing pathway for the treatment of hospitalized patients with herpes zoster,explore the timeliness of clinical nursing pathway for the establishment of dermatology and other related diseases nursing pathway to provide a reference,promote the clinical nursing pathway in clinical promotion.Methods:Choose from January 2018 to August 2018 handan city one of 3 armour hospital dermatologist treated in line with the diagnostic criteria of herpes zoster as the subjects,206 patients were randomly divided into experimental group and control group,experimental group 110 cases,1 halfway exit path,finally the experimental group 109 cases,control group,96 cases of experimental group according to the clinical nursing path model for treatment and care;All patients(or family members)were informed of the purpose of this experiment and signed an informed consent.To compare the efficacy and pain of rashes in daily living ability between the two groups,there was no statistically significant difference between the two groups in terms of inpatient cost,average length of stay,and patient satisfaction,with P<0.05 being statistically significant.Results:1.Baseline data were compared between the two groups in terms of gender,age,education level,payment method,skin rash site,area of basic disease rash,etc.Results the baseline data of patients in the two groups were consistent without statistical difference(P>0.05),which could be compared.2.Barthel index scores of patients in the two groups were compared,and the results showed that the Barthel index score of the experimental group was(73.53 ±12.78)at admission,and that of the control group was(73.54 ±12.07)at admission,with no statistical significance between the two groups(P > 0.05).The Barthel index score at discharge was(97.08 ±7.49)in the experimental group and(96.74 ±10.44)in the control group,and the comparison between the two groups was not statistically significant(P > 0.05).3.Comparing the pain conditions of patients in the two groups,the results showed that there was no statistical significance in the pain degree of patients in the two groups at admission(X2=29.125,P > 0.05),and the pain degree in the experimental group was significantly lower than that in the control group at discharge(X2=77.612,P < 0.05).After discharge,patients in both groups were followed up for 3 months.After 1 month,18 cases of PHN appeared in the experimental group and 26 cases of PHN in the control group.There was no significant difference between the two groups(X2=3.383,P > 0.05).After 3 months,there were 6 cases of PHN in the experimental group and 18 cases of PHN in the control group.PHN in the experimental group was significantly less than that in the control group,and there was a statistical difference between the two groups(X2=8.663,P < 0.05).4.Comparison of the efficacy of rash treatment between the two groups upon discharge: the effective rate of skin rash treatment in the experimental group was 92.7% at discharge,and that in the control group was 76.1% at discharge.The therapeutic effect of skin rash in the experimental group was significantly higher than that in the control group,with statistical difference between the two groups(P<0.05).5.The average hospitalization cost of patients in the two groups was compared,and the results showed that the average hospitalization cost of the experimental group was(4824.14± 766.70)yuan,while the average hospitalization cost of the control group was(6670.17 ±1785.33)yuan.The average hospitalization cost of patients in the experimental group was significantly less than that of the control group,and the difference was statistically significant(P<0.05).6.The mean hospitalization time of the two groups was compared,and the results showed that the mean hospitalization time of the experimental group was(12.05 ±1.37)days,and the mean hospitalization time of the control group was(15.96 ±3.06)days.The mean hospitalization time of the experimental group was significantly less than that of the control group,and the difference was statistically significant(P<0.05).7.The discharge satisfaction of the patients in the two groups was compared,and the results showed that the discharge satisfaction of the experimental group was(101.65 ±13.90),and that of the control group was(91.99±14.41).The discharge satisfaction of the patients in the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of clinical nursing path can make all hospitalized patients with herpes zoster homogenization treatment and care,in alleviating patients with herpes zoster neuralgia promote rash skin fast repair at the same time,shorten the average such confinement,reduce the medical burden of patients,medical resources saving,save medical insurance funds use clinical nursing path that is worth popularizing in clinical nursing mode,will have a good social and economic benefits. |
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