Objective To evaluate the effectiveness and safety of clinical pathways on nursing work of patients with acute respiratory failure. Methods Eighty patients with acute respiratory failure treated in ICU of the Second Affiliated Hospital of Xi'an Jiaotong University from June 2017 to July 2018 were selected, they were divided into control group and observation group according to random number table method, 40 cases in each group. The patients in control group were given with routine nursing and observation group was intervented with clinical pathway nursing. ICU time, ventilation time, respiratory function recovery time, hospitalization cost, complications, and nursing service satisfaction of patients were compared between two groups, blood gas indexes of patients before and after nursing intervention were compared between two groups. Results The ICU time, ventilation time, respiratory function recovery time, hospitalization costs and the incidence of complications in the observation group were lower than those in the control group, the differences were statistically significant (P ＜ 0.05). After the intervention, the partial oxygen pressure (PO2) of the patients in both groups were higher than those before the intervention, and the partial carbon dioxide pressure (PCO2) were lower than those before intervention, and PO2 of patients in the observation group was higher and PCO2 was lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Clinical pathway nursing might shorten the hospitalization time, the ventilation, and recovery time of respiratory function in patients with acute functional failure, reduce the hospitalization costs and the incidence of complications, improve the blood gas indexes and the patients' satisfaction.%目的 评价临床路径应用于急性呼吸功能衰竭患者护理工作中的有效性及安全性.方法 选择2017年6月～2018年7月于西安交通大学第二附属医院ICU 住院治疗的80例急性呼吸功能衰竭患者,按照随机数字表法分为对照组和观察组,各40例.对照组给予常规护理,观察组给予临床路径护理方案.比较两组患者ICU 住院时间、呼吸机使用时间、呼吸功能恢复时间、住院费用、并发症情况及护理服务满意度;比较两组患者护理干预前后血气指标.结果 观察组ICU 住院时间、呼吸机使用时间、呼吸功能恢复时间、住院费用及并发症发生率均低于对照组,差异均有统计学意义(P ＜ 0.05);干预后,两组患者氧分压(PO2)均高于干预前,二氧化碳分压(PCO2)均低于干预前,且观察组患者PO2高于对照组,PCO2低于对照组,差异均有统计学意义(P ＜ 0.05);观察组护理服务满意度高于对照组,差异有统计学意义(P ＜ 0.05).结论 临床路径指导下的护理干预能有效缩短急性呼吸功能衰竭患者的住院时间、呼吸机使用时间及呼吸功能恢复时间,降低住院费用,改善患者血气指标,降低并发症发生率,提高患者满意度.
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