临床路径在子宫切除术患者中的应用研究  

Application of clinical pathway in uterectomy patients

作　　者：钟秋莲[1] 李艳[2] 陈霞[1] 

机构地区：[1]湖南省衡阳市妇幼保健院,421001 [2]南华大学附属第一医院外科

出　　处：《中国实用护理杂志（中旬版）》2010年第5期30-32,共3页Chinese Journal of Practical Nursing

基　　金：基金项目：衡阳市科学技术局科研项目（2008KSO18）

摘　　要：目的通过对妇科住院实施单纯子宫切除术患者应用临床路径，探讨临床路径在子宫切除术患者中的应用效果。方法将120例子宫切除患者随机分为实验组和对照组各60例。实验组按照制订的临床路径表实施每日诊疗、护理、康复工作。对照组按照常规模式工作，比较2组患者在平均住院日、住院费用、患者满意度及疾病知识认知程度、术后首次功能锻炼时间及医疗纠纷6个方面有无差异。结果实验组患者的平均住院日和平均住院费用明显低于对照组；2组患者的满意度、健康知识掌握情况和首次功能锻炼时间实验组均优于对照组。实验组的医疗纠纷比对照组的明显降低。结论临床路径应用于子宫切除术患者，缩短了住院时间，降低了患者的住院费用，提高了患者的满意度，降低了医疗纠纷。有利于医疗资源的合理使用，促进医疗护理质量的持续改进。Objective Through application of clinical pathway in hospitalization patients undergoing uterectomy, we aimed to study the efficacy of clinical pathway in uterectomy patients. Methods 120 patients randomly sampled into the experimental group and the control group with 60 in each. The experimental group received diagnosis, treatment, nursing and rehabilitation according to the clinical pathway table, patients in the control group received routine nursing interventions. The average hospitalization days, medical costs, patient satisfaction degree, disease cognition, first exercise time after operation and medical disputes were compared between the two groups. Results The average hospitalization days and hospitalization costs of the experimental group were obviously lower than those in the control group, patients＇ satisfaction degree, knowledge of health and first functional exercise time in the experimental group were better than those of the control group, while the medical disputes in the experimental group were obviously de- creased in the experimental group. Conclusions Application of clinical pathway in nursing care for utereetomy patients can effectively decrease hospitalization days, medical costs and disputes. It is also helpful for patients to cooperate with doctors in diagnosis, treatment, nursing, thus increase the satisfaction degree of patients, ensure the reasonable use of medical resources and promote the sustainable improvement of nursing quality.

关 键 词：临床路径 子宫切除 应用研究 

分 类 号：R473.71[医药卫生—护理学]