临床护理路径多学科应用效果评价

Application effect evaluation on clinical nursing pathway of multidisciplinary

目的:评价临床护理路径(CNP)在宫内节育器(IUD)嵌顿和异位取出、剖宫产和腹股沟斜疝手术中的实施效果。方法:本研究①选择2005年1月～2008年8月20例IUD嵌顿和异位需要手术治疗而无手术禁忌证者,对其实施CNP(试验组ⅠA组),回顾性分析了2000年1月～2004年12月20例常规护理组的IUD嵌顿和异位手术治疗患者(对照组ⅠB组);②选择2008年1～8月在我院行剖宫产手术的120例产妇随机分为CNP组60例(试验组ⅡA组),常规护理组60例(对照组ⅡB组);③选择2007年1月～2008年8月在我院行腹股沟斜疝手术的60例患者,随机分为CNP组30例(试验组ⅢA组),常规护理组30例(对照组ⅢB组)。观察各两组患者的住院天数、住院费用、健康知识掌握和满意度有无差异。结果:试验组住院天数分别为(8.5±1.5)、(7.5±1.5)、(7.0±1.0)d,对照组分别为(11.5±4.5)、(9.5±3.5)、(9.0±2.0)d,差异有统计学意义(P<0.05);住院费用试验组分别为(1800±180)、(2000±150)、(900±130)元,对照组分别为(2600±350)、(2600±300)、(1300±280)元,差异有统计学意义(P<0.05);试验组住院患者满意度均为100%,对照组分别为80.5%、81.5%、80.9%,差异有统计学意义(P<0.05)。结论:CNP在多学科应用可提高护理人员的工作效率,减少了患者的住院天数,降低了患者的住院费用,从而提高了患者的健康意识和满意度。

Objective： To evaluate the implementation effectiveness of clinical nursing pathway（CNP） on the incarceration and ectopic incarcerated out of intrauterine device （IUD）, caesarean section and indirect inguinal hernia. Methods：①From January 2005 to August 2008, clinical nursing pathway was used on 20 cases in incarceration and ectopic incarcerated out of intrauterine device without contraindication （the test group I A）, from January 2000 to December 2004, conventional care was used on 20 cases in incarceration and ectopic incarcerated out of intrauterine device （the control group I B）;②from January to August in 2008, the 120 patients undergoing cesarean section were divided into two groups, 60 cases with CNP （the test group II A）, 60 cases with conventional care （the control group Ⅱ B）; ③from January 2007 to August 2008, 60 pa tients undergoing indirect inguinal hernia in our hospital were divided into two groups, 30 cases with CNP （the test group Ⅲ A）, 30 cases with conventional care （the control group Ⅲ B）. To observe the hospitalization days, hospitalization expenses, patients＇ knowledge on health and their satisfactory rate were observed and compared, respectively. Results： Hospitalization days were （8.5±1.5）, （7.5±1.5）, （7.0±1.0） days in the test groups, and （11.5±4.5）, （9.5±3.5）, （9.0±2.0） days in the control groups（P〈0.05）; hospitalization expenses were（1800±180）, （2000±150）, （900±130） yuan in the test groups and （2600±350）, （2 600±300）, （1300±280） yuan in the control groups （P〈0.05）; their satisfactory rates were all 100% in the test groups, and they were 80.5%, 81.5%, 80.9% in control test groups, respectively, the differences were statistically significant （P〈0.05）. Conclusion： Clinical care pathway of the multi-disciplinary application can improve efficiency and reduce hospital- ization days and hospitalization expenses of patients, improving patient satisfaction and health awareness.