路径式综合护理在慢性盆腔炎患者中的应用效果  

Application of comprehensive nursing path for patients with chronic pelvic inflammatory disease

作　　者：倪锦红[1] 董天睿[1] 杜妍[1] 陈晓颖[1] 章轶闻[2] 黄求进[3] 

机构地区：[1]哈尔滨医科大学附属第一医院妇科一病房,150001 [2]哈尔滨医科大学附属第一医院干部一病房,150001 [3]哈尔滨医科大学附属第一医院护理部,150001

出　　处：《中华现代护理杂志》2014年第36期4597-4599,共3页Chinese Journal of Modern Nursing

基　　金：黑龙江省教育厅科学技术研究面上项目（12541546）

摘　　要：目的：探讨路径式综合护理在慢性盆腔炎患者中的应用效果。方法选取180例在妇科进行治疗的慢性盆腔炎患者作为研究对象，按照随机数字表法随机分为观察组和对照组各90例。对照组采用常规护理模式，观察组在对照组基础上应用路径式综合护理干预。比较两组患者的生存质量、治疗效果及满意度。结果观察组患者生理功能、生理职能、身体疼痛、总体健康、活力、社会功能、精神健康及情感职能维度的评分分别为（65．9±11．1），（67．8±11．3），（68．1±10．0），（77．2±12．6），（70．8±11．0），（78．0±11．5），（77．6±11．3），（80．4±10．7）分，均优于对照组，差异有统计学意义（t值分别为6．983，9．042，10．819，19．037，13．820，25．174，17．358，28．974；P＜0．01）。观察组患者痊愈36例，显效21例，有效30例，无效3例，与对照组比较差异有统计学意义（Z＝5．858，P＜0．05）。观察组患者对治疗非常满意77例，满意11例，不满意2例，与对照组比较差异有统计学意义（ Z ＝6．678， P ＜0．05）。结论路径式综合护理对于慢性盆腔炎患者有较好的治疗效果，能够提升患者的生存质量和治疗满意度。Objective To explore the application value of comprehensive nursing path for patients with chronic pelvic inflammatory disease .Methods A total of 180 patients with chronic pelvic inflammation were randomly divided into observation group and control group on average .The control group received routine care for patients with chronic pelvic inflammatory disease , while the observation group underwent comprehensive comprehensive nursing path based on routine .The quality of life , effect of treatment and patients ’ satisfaction were compared .Results After intervention , the dimension assessment score of physical function , physical role , pain, health, vigor, social function, mental health and emotional function were （65.9 ±11.1）,（67.8 ± 11.3）,（68.1 ±10.0）,（77.2 ±12.6）,（70.8 ±11.0）,（78.0 ±11.5）,（77.6 ±11.3） and （80.4 ±10.7） in the observation group, which were better than those in the control group （t =6.983,9.042, 10.819, 19.037, 13.820, 25.174, 17.358, 28.974, respectively;P〈0.01）.The patients in the observation group had thirty six cured, twenty one dramatically effective, thirty effective and three invalid （Z=5.858,P〈0.05）. For assessment of satisfaction , there were seventy seven felt very satisfied , eleven satisfied and two unsatisfied （Z =6.678,P 〈0.05）.Conclusions The comprehensive nursing path has a better therapeutic effect for patients with chronic pelvic inflammatory disease by improving the quality of life and treatment satisfaction .

关 键 词：临床路径 盆腔炎性疾病 护理 患者满意度 

分 类 号：R473.71[医药卫生—护理学]