【摘要】 目的构建具自杀倾向患者的护理临床路径并评价实施效果。方法根据循证医学的证据构建具自杀倾向患者的护理临床路径。将68例抑郁症具自杀倾向患者随机分为临床路径组和常规对照组各34例。临床路径组按照标准化临床路径构建模式实施护理,常规对照组按照传统的常规护理模式实施护理,观察两组汉密尔顿抑郁量表评分、Beck自杀意念量表评分及患者满意度。结果治疗后临床路径组汉密尔顿抑郁量表、Beck自杀意念量表评分及患者满意度均优于常规对照组(P<0.05)。结论临床路径用于自杀倾向患者的护理管理,能使操作规范,减少随意性,降低医疗风险,提高患者满意度。更多还原

【Abstract】 Objective To construct the clinical nursing pathway for patients with suicidal tendency, and to evaluate its implementation effect. Methods Clinical nursing pathway for patients with suicidal tendency was constructed according to evidence-based medicine. 68 cases of patients with depression and suicidal tendency were randomly divided into clinical pathway group and conventional control group, with 34 cases in each group. The clinical pathway group was nursed with standardized clinical pathway model, and the conventional control group was nursed with traditional regular mode. The scores of Hamilton depression rating scale and Beck scale for suicide ideation, and patients’ satisfaction were compared between the two groups. Results The scores of Hamilton depression rating scale and Beck scale for suicide ideation, and patients’ satisfaction of the clinical pathway group were better than those of the conventional control group, with statistically significant difference(P <0.05). Conclusions Clinical pathway in the application of nursing management for patients with suicidal tendency can normalize operation, reduce randomness, lower medical risks and improve patients’ satisfaction.更多还原