儿童哮喘临床护理路径变异相关因素的Logstic回归分析(1)
摘 要：目的 研究Logstic回归分析儿童哮喘临床护理路径变异相关因素。方法 回顾分析2016年5月～2017年10月在我院诊治采用临床护理路径护理的80例哮喘儿童，采用Logstic回归方法分析临床护理路径变异相关因素。结果 21例患者发生变异，病例数达26.25%，其中正性变异发生率为3.75%，负性变异发生率为22.50%；临床护理路径负性变异相关因素包括疾病转归因素、医院系统、医护人员、病人需求，其发生率分别为14.16%、1.67%、2.81%、4.16%。结论 分析儿童哮喘临床护理路径变异相关因素，可及早发现患儿病情变化趋势，从而改善临床护理路径，使临床护理更具有针对性，形成一个良好的临床护理过程。
关键词：儿童哮喘；临床护理路径；变异相关因素
中图分类号：R473.72 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.062
文章编号：1006-1959(2018)07-0175-02
, 百拇医药
Logstic Regression Analysis of Variation Related Factors of Clinical Nursing Path in Children with Asthma
ZHAN Hong
(Department of Outpatient，the First Affiliated Hospital，Guangzhou Medical University，Guangzhou 510120，Guangdong，China)
Abstract：Objective To study the Logstic regression analysis of related factors in children with asthma clinical nursing path variation.Methods From May 2016 to October 2017，80 asthmatic children who were treated with clinical nursing path were analyzed retrospectively.The factors related to the variation of clinical nursing path were analyzed by Logstic regression method.Results 21 cases of patients with mutation，the number of cases was 26.25%，the positive mutation rate was 3.75% and the negative mutation rate was 22.50%；the clinical nursing path negative variance factors including disease outcome factors，hospital systems，medical staff， patients needs，the incidence rate were 14.16%，1.67%，2.81%，4.16%.Conclusion Analysis of the factors related to the variation of clinical nursing pathway in children asthma，we can detect the trend of children's disease as early as possible，so as to improve the clinical nursing pathway，and make clinical nursing more targeted，and form a good clinical nursing process.
, 百拇医药
Key words：Childhood asthma；Clinical nursing pathway；Variation related factors
臨床护理路径(clinical nursing pathway)是医院护理人员针对某疾病的监测、治疗、康复及护理所制定的一种严格有序的护理计划，可减少康复延迟、资源浪费，使患者获得最全面、最优质的护理服务[1]。儿童哮喘(childhood asthma)是临床常见呼吸系统疾病，积极治疗的同时需要有效的护理干预，以确保临床疗效。为提高儿童哮喘护理质量，应用临床护理路径具有重要的作用。为确保临床护理路径顺利实施，使护理计划依照制定流程完成，应重视患儿个体差异等诸多因素，防止偏离标准临床路径的现象[2]。本文选取在我院诊治采用临床护理路径护理的80例哮喘儿童的临床资料，分析实施儿童哮喘临床护理路径中发生变异的情况及其相关因素，为临床护理路径的顺利进行奠定基础。
1资料与方法
1.1一般资料 回顾分析2016年5月～2017年10月在广州医科大学附属第一医院诊治采用临床护理路径护理的80例哮喘儿童临床资料，本研究经过医院伦理会批准。其中男47例，女33例；年龄1～12岁，平均年龄(4.54±1.63)岁；病程3个月～3年，平均病程(2.12±1.03)年；轻度32例，中度30例，重度18例。纳入标准：①符合《儿童哮喘防治指南》诊断标准[3]：喘息反复发作>3次，发作时肺部有哮鸣音，伴有反复发作性的喘息、咳嗽、呼吸困难等症状；②常规检查无异常，包括血、尿、便常规，肝肾功能，心电图等；③近3个月未使用支气管扩张剂和激素治疗；④年龄1～12岁；⑤家属签署知情同意书。排除标准：①其他原因引起的咳嗽，或临床感染者；②合并严重心、脑、血管、肝、肾疾病疾病；③伴有全身性疾病或先天性心脏病；④研究药物过敏者。, http://www.100md.com(詹红)
关键词：儿童哮喘；临床护理路径；变异相关因素
中图分类号：R473.72 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.062
文章编号：1006-1959(2018)07-0175-02
, 百拇医药
Logstic Regression Analysis of Variation Related Factors of Clinical Nursing Path in Children with Asthma
ZHAN Hong
(Department of Outpatient，the First Affiliated Hospital，Guangzhou Medical University，Guangzhou 510120，Guangdong，China)
Abstract：Objective To study the Logstic regression analysis of related factors in children with asthma clinical nursing path variation.Methods From May 2016 to October 2017，80 asthmatic children who were treated with clinical nursing path were analyzed retrospectively.The factors related to the variation of clinical nursing path were analyzed by Logstic regression method.Results 21 cases of patients with mutation，the number of cases was 26.25%，the positive mutation rate was 3.75% and the negative mutation rate was 22.50%；the clinical nursing path negative variance factors including disease outcome factors，hospital systems，medical staff， patients needs，the incidence rate were 14.16%，1.67%，2.81%，4.16%.Conclusion Analysis of the factors related to the variation of clinical nursing pathway in children asthma，we can detect the trend of children's disease as early as possible，so as to improve the clinical nursing pathway，and make clinical nursing more targeted，and form a good clinical nursing process.
, 百拇医药
Key words：Childhood asthma；Clinical nursing pathway；Variation related factors
臨床护理路径(clinical nursing pathway)是医院护理人员针对某疾病的监测、治疗、康复及护理所制定的一种严格有序的护理计划，可减少康复延迟、资源浪费，使患者获得最全面、最优质的护理服务[1]。儿童哮喘(childhood asthma)是临床常见呼吸系统疾病，积极治疗的同时需要有效的护理干预，以确保临床疗效。为提高儿童哮喘护理质量，应用临床护理路径具有重要的作用。为确保临床护理路径顺利实施，使护理计划依照制定流程完成，应重视患儿个体差异等诸多因素，防止偏离标准临床路径的现象[2]。本文选取在我院诊治采用临床护理路径护理的80例哮喘儿童的临床资料，分析实施儿童哮喘临床护理路径中发生变异的情况及其相关因素，为临床护理路径的顺利进行奠定基础。
1资料与方法
1.1一般资料 回顾分析2016年5月～2017年10月在广州医科大学附属第一医院诊治采用临床护理路径护理的80例哮喘儿童临床资料，本研究经过医院伦理会批准。其中男47例，女33例；年龄1～12岁，平均年龄(4.54±1.63)岁；病程3个月～3年，平均病程(2.12±1.03)年；轻度32例，中度30例，重度18例。纳入标准：①符合《儿童哮喘防治指南》诊断标准[3]：喘息反复发作>3次，发作时肺部有哮鸣音，伴有反复发作性的喘息、咳嗽、呼吸困难等症状；②常规检查无异常，包括血、尿、便常规，肝肾功能，心电图等；③近3个月未使用支气管扩张剂和激素治疗；④年龄1～12岁；⑤家属签署知情同意书。排除标准：①其他原因引起的咳嗽，或临床感染者；②合并严重心、脑、血管、肝、肾疾病疾病；③伴有全身性疾病或先天性心脏病；④研究药物过敏者。, http://www.100md.com(詹红)