Application of the clinical path nursing mode in children with pneumonia

Objective To explore the clinical effect of clinical pathway nursing mode in pediatric patients with pneumonia. Methods A total of 92 cases of infantile pneumonia were selected in our hospital from February, 2010 to March, 2013. Using the method of random digits table, patients were divided into the study group and the control group, with 46 cases each. The control group received routine nursing mode, while the study group received clinical nursing pathway. The prognosis rehabilitation, nursing satisfaction and complications were compared between groups. Results In the study group, the disappearance time of cough, moist tale and fever gone was （3.5 ± 0.9） days, （ 3.9 ± 1.1 ） days and （ 2.5 ±0. 6） days, respectively, which was significantly shorter than （5.8 ±1.2） days, （ 6.3 ± 1.4） days and （ 3.7 ± 1.1 ） days in the control group （t = 6. 397,5. 084,7. 321, respectively; P 〈 0. 05）. The effective rate in the study group was 91.3%, significantly higher than 84.8% in the control group （ X2 = 8. 985 ,P 〈 0. 05 ）. In the study group, 2 patients had nausea, and 2 patients had rash, and no patients had empyema or pleurisy. In the control group, 5 patients had nausea, and 5 patients had rash, and 3 patients had empyema, and 2 patients had pleurisy. The incidence of complications had significant differences （ X2 = 5. 083 ,P 〈 0. 05 ）. In the study group, 32 patients were quite satisfied with the nursing care, 13 patients were almost satisfied, and 1 patient was unsatisfied. While in the control group, 15 patients were quite satisfied with the nursing care, 19 patients were almost satisfied, and 12 patients were unsatisfied. The differences were significant （ Z = 8. 869, P 〈 0. 05 ）. Conclusions The clinical pathway nursing mode can improve the prognosis of pneumonia in children, and increase the satisfaction of nursing care, as well as reducing the incidence of complications, so it is worthy of further promotion. Key words: Pneumonia;  Clinical pathway ;  Prognosis ;  Satisfaction;  Complications