目的:探讨实施临床护理路径管理对结核性胸膜炎患者治疗依从性及治疗效果的影响。方法:采用回顾性分析方法,将2010年3月~2012年2月未实施临床路径管理的患者作为对照组,将2013年4月~2015年2月实施临床路径管理后的患者作为观察组,分析两组患者的治疗效果、治疗依从性和差异原因,比较两组平均住院天数、住院费用、不良反应发生率、满意度等。结果:观察组的治疗有效率和依从性均高于对照组(P<0.05),且对照组普遍存在缺乏相关知识和治愈信心的问题。观察组平均住院天数和平均住院费用均低于对照组,发生不良反应事件为10例,明显低于对照组的26例;观察组的患者满意度普遍高于对照组。结论:实施临床护理路径,有助于提高患者治疗依从性,降低不良反应发生率和医疗成本,提高治疗效果和患者满意度。 Objective: To explore the impact of clinical nursing pathway management on treatment adherence and therapeutic effect in patients with tuberculous pleurisy. Methods: A retrospective analysis method was used to compare the patients who did not implement clinical path management from March 2010 to February 2012. The patients who underwent clinical path management from April 2013 to February 2015 were selected as the observation group, Analysis of two groups of patients with treatment, treatment compliance and the reasons for the difference, the average length of stay in two groups, hospitalization costs, the incidence of adverse reactions, satisfaction and so on. Results: The therapeutic efficiency and compliance of the observation group were higher than that of the control group (P <0.05), and the control group generally lacked the knowledge and the cure of confidence. The average length of hospital stay and average hospitalization costs in the observation group were lower than those in the control group. There were 10 adverse reactions in the observation group, which were significantly lower than those in the control group (26 patients). The satisfaction of patients in the observation group was generally higher than that of the control group. Conclusion: The implementation of clinical nursing pathway helps to improve patient compliance, reduce the incidence of adverse reactions and medical costs, improve the treatment effect and patient satisfaction.