目的 探讨在妊娠滋养细胞肿瘤患者中应用个案管理模式的效果和意义，为有效利用医疗护理资源、促进专科护理

发展提供依据。方法 回顾性选择2012年11月～2O13年10月在我科接受化疗的41例妊娠滋养细胞肿瘤患者为对照

组；以2013年11月-20l4年10月在我科开展个案管理模式后接受化疗的43例妊娠滋养细胞肿瘤患者为观察组，比较

两组患者对护理的满意度、依从性的差异性及住院天数、住院费用等治疗结局指标。同时横向比较同一病房个案

管理师和责任护师的工作满意度。结果 两组患者满意度、全程治疗依从性、住院天数、住院费用有统计学意义

(P<O.05)。个案管理师和责任护师的工作满意度亦有统计学意义(P<O.05)。结论 个案管理模式能有效提高妊娠滋

养细胞肿瘤患者的满意度和治疗依从性，降低住院天数、减少住院费用，取得良好的实用效果，充分体现出全程、

个体化和专业化的护理内涵。该模式是适应肿瘤多学科综合治疗的护理工作模式，能提高个案管理师的工作满意

度。

Objective To discuss effect and significance of gestational trophablastic neoplasia patients applied case management model, for the effective use of health care resources, promote the development of specialized nursing. Methods Retrospective selection 41 patients in the control group received routine care from November 2012 to October 2013, and the 43 patients in the experimental group received case management model despite routine care from November 2013 to October 2014, Compare two groups of patients to nursing satisfaction, adherence, the difference of the hospitalization days and expenses.On the other hand to compare the job satisfaction between Case administrators and nurses in same ward. Results Two groups of patients' satisfaction, dherence, hospitalization days and expenses had statistical significance(P<0.05),the job satisfaction of Case administrators were higher than nurses(P<0.05). Conclusion The case management model can effectively improved patients satisfaction and treatment compliance, reduced the hospitalization days and costs, achieved good practical effect, which fully reflected the whole, individual and professional nursing connotation. The model improved the job satisfaction of case management administrators.