人工流产术临床护理路径的建立及效果评价

Establishment of clinical nursing pathway for artificial abortion and effect assessment

目的建立并实施人工流产术的临床护理路径（clinical nursing pathway，CNP），探讨人工流产术CNP的应用效果。方法设计人工流产术护理路径，并实施。比较实施前后护理满意度，手术记录表缺项发生数，手术对象避孕及人工流产知识知晓率。结果人工流产术CNP实施前后手术记录表平均每份缺项数为0．636和0．013，护理满意度为77．0％和92．3％，避孕及人流知识知晓率为47．6％和96．1％，实施前后比较差异显著。结论实施人工流产术CNP，手术对象满意度提高，手术记录表缺项数下降，育龄妇女避孕及人流知识知晓率上升，确保了人工流产术医疗护理质量及手术的安全性，值得推广。

Objective To build clinical nursing pathway for artificial abortion operation and explore the effect of this method. Methods The nursing pathway was designed and carried out. The satisfaction degree with nursing, status of patients＇ awareness about contraception and artificial abortion operation was compared before and after the nursing pathway was implemented. Results Before and after the nursing pathway was implemented,the proportion of missing item of operation record was 0.636 and 0.013, the satisfaction degree with nursing was 77.0% and 92.3%, rate of patients＇ awareness about contraception and artificial abortion operation was 47.6% and 96.1%. Conclusions The clinical nursing pathway for artificial abortion operation may improve the degree of satisfaction and the status of patients＇ awareness about contraception and artificial abortion operation, and decline the proportion of missing item of operation note, it ensures high nursing quality and safety surgery, which is worthy of popularizing.