摘要
目的 分析并研究临床护理路径(Climical nursing pathway,CNP)在产科全程护理中的应用效果。方法 选取本院在 2015-2016年间收治的170例产妇作为研究对象,依照入院时间,将其随机分为对照组和观察组,其中,对照组80 例,观察组90例。对照组采用常规化的护理路径,观察组基于对照组,采用临床护理路径。对比两组产妇的护理满 意度、住院费用、住院时间以及产妇的健康教育达标率等数据。结果 观察组的临床效果明显优于对照组。观察组 的平均住院时间为(3.56±1.64)天,平均住院费用为(1978.23±491.21)元;对照组平均住院时间为(6.36±3.14) 天,平均住院费用为(2397.11±571.56)元,对比差异有统计学意义(P<0.05)。观察组产妇的健康教育达标率 为90%,对照组产妇的健康教育达标率为75%,二者差异具有统计学意义(P<0.05);观察组产妇的护理满意度为 92.22%,对照组产妇的护理满意度为77.50%,差异有统计学意义(P<0.05)。结论 临床护理路径在妇产科患者中的 有效应用,可以增强产妇的健康教育达标率,减少住院所需的费用并缩短产妇的住院时间,可在临床护理中大力推 广。
Objective To analyze and study the clinical care path (Climical nursing pathway, CNP) application in the obstetric nursing. Methods Select 170 cases of maternal as research subjects in our hospital from 2015--2016, in accordance with the time of admission were randomly divided into control group and observation group, in which the control group of 80 patients, 90 cases of observation group. The control group received routine care of the path, based on the observation group in the control group, the use of clinical nursing path. Compared two groups of maternal satisfaction with care, hospital costs, length of stay and health education compliance rate of maternal data. Results The clinical effect of the observation group than the control group. The average length of stay in the observation group was (3.56±1.64) days, the average cost of hospitalization was (1978.23±491.21) yuan; the control group, the average length of stay was (6.36 ± 3.14) days, the average cost of hospitalization was (2397.11±571.56) yuan, compared to there are differences, there are statistically significant (P<0.05). Observation group maternal health education compliance rate was 90%, and health education compliance rate was 75% in the control group of women, there are differences between the two, there was statistically significant (P<0.05), the observation group maternal nursing satisfaction for 92.22 percent, the control group mothers nursing satisfaction with 77.50%, the difference was statistically significant (P<0.05). Conclusion The effective application of clinical nursing path in obstetrics and gynecology patients, can enhance compliance rate of maternal health education, reduce hospitalization and reduce the cost of maternal hospital stay short, you can promote in clinical care.
【关键词】临床路径;护理;产科
【中图分类号】R473.71
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.06.019
前言
临床护理路径要求护理人员需依据患者的实际情 况制定护理方案,通过图表等形式,为患者提供周到 服务、细致照顾,使诊疗护理的过程具有科学性、有 序性,进而减少对患者的护理疏漏,减短患者的住院 天数,促进其尽快康复。目前,我国政策支持晚婚晚育,因此产妇的年龄相对较高,这在一定程度上提高 了医院对于产妇的护理需求。本院为了提高妇产科的 护理质量,满足产妇的护理需求,积极引进临床护理 路径思维,为自然分娩的产妇提供更为全面的临床护 理,并在实践中取得明显效果,结果报告如下。
罕少疾病杂志
第23卷, 第 2 期
2019年11月
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