临床路径在孕期产前检查中的应用研究  

作　　者：崔艳双[1] 胡璇[1] 陈敏 吴星光[1] 

机构地区：[1]深圳市南山区人民医院产科

出　　处：《中国产前诊断杂志（电子版）》2018年第1期20-22,共3页Chinese Journal of Prenatal Diagnosis(Electronic Version)

基　　金：深圳市南山区卫生科技计划项目(南科研卫2015040)

摘　　要：目的探讨临床路径在孕期产前检查中的应用价值。方法选择2016年1月至2017年10月于本院产科门诊接受产前检查并于本院分娩的720例孕妇,采用随机数字表法分为2组。对照组360例采用常规孕期保健和产前检查,观察组360例实施临床路径管理,成立临床路径小组,根据孕周建立产前检查路径表和孕期健康教育路径表。对比两组剖宫产率、产检费用、健康教育达标率、患者满意度。结果观察组剖宫产率为22.50%,对照组为40.83%,差异具有统计学意义（χ^2=3.376,P=0.010）;观察组满意率为96.67%,对照组为87.50%,差异具有统计学意义（χ^2=2.041,P=0.034）;观察组心理调适、用药知识、孕期自我监护、营养均衡达标率均优于对照组,差异均有统计学意义（P〈0.05）。结论临床路径应用于孕期产前检查对促进自然分娩、增加孕期保健知识意义重大,同时还能提高孕妇满意度,值得临床推广应用。Objective To explore the value of clinical pathway in prenatal examination during pregnancy.Method From January 2016 to October 2017,720 pregnant women who received antenatal care in our obstetrics clinic and delivered in our hospital were randomly divided into 2 groups.In the control group,360 cases were given routine prenatal care and prenatal care,and 360 cases in the observation group were implemented clinical pathway management.The clinical pathway group was established,and the antenatal checklist and health education path table were established according to gestational age.The two groups were compared with the rate of caesarean section,the cost of examination,the rate of health education and the satisfaction of the patients.Results The observation group of cesarean section rate was 22.50%,40.83%in the control group,the difference was statistically significant（χ^2=3.376,P =0.010）;the observation group satisfaction rate was 96.67%,87.50%in the control group,the difference was statistically significant（χ^2=2.041,P=0.034）;the observation group psychological adjustment,medication knowledge,self-care,maternal nutrition balanced compliance rate were better than the control group,the differences were statistically significant（P〈0.05）.ConclusionsThe application of clinical pathway in prenatal care during pregnancy is of great significance for promoting natural childbirth,increasing knowledge of pregnancy health care,and improving the satisfaction of pregnant women.It is worthy of clinical application.

关 键 词：临床路径 孕期 产前检查 健康教育 

分 类 号：R714.7[医药卫生—妇产科学]