临床路径在子宫下段剖宫产术病人诊疗护理中的应用研究

Applied research on clinical pathway for diagnosis,treatment and nursing care of patients accepting cesarean section of lower uterine segment

[目的]建立完善有效的子宫下段剖宫产术病人在住院诊疗护理中的临床路径。[方法]采用随机抽样方法,将子宫下段剖宫产术病人640例分成两组,每组320例。对照组采用传统的医疗护理方法,实验组按临床路径表,实施每日的诊疗、护理及健康教育工作。[结果]实验组平均住院日、平均住院费用均较对照组下降,而满意率、对疾病相关知识的掌握情况及护士工作效率均明显提高。[结论]临床路径能使单病种管理的无序状况成为一种优化、简化和增效的管理。在保证医疗护理质量的前提下,减少孕产妇的住院日和住院费用,提高了工作效率和满意率,保证医疗护理质量。

Objective：To establish effective clinical pathway for diagnosis,treatment and nursing care of patients accepting cesarean section of lower uterine segment.Methods：A total of 640 patients accepting cesarean section of lower uterine segment were randomly divided into two groups（320 cases each）.Patients in control group were given traditional medical care.Patients in test group were implemented daily treatment,nursing and health education according to clinical pathway table.Results：Both the average hospitalization time and the average medical expenses of patients in test group were lower than that of patients in control group.The satisfaction rate of patients,the grasp of related knowledge of patients,and the working effective rate of nurses in test group had been enhanced remarkably.Conclusion：Clinical pathway enables the disorder state of single disease to become an optimization,simplification and synergistic management.It can reduce the hospitalization time and medical expenses of parturient,enhance the satisfaction degree and the working effective rate so as to ensure the quality of medical and nursing care of patients.