临床路径在自然分娩中的实施效果观察

Observation on the implementation effect of clinical pathway in natural childbirth

目的探讨临床路径在自然分娩中的应用效果。方法选取入院产检并行自然分娩的产妇120例作为研究对象,采用数字随机表将产妇分为对照组和观察组,对照组接受常规护理和健康教育,观察组按照自然临床路径的时间和内容进行护理及健康教育,记录两组住院时间、住院费用,了解产妇对相关知识掌握程度,记录两组术后并发症发生率。结果观察组住院时间为(2.29±0.82)d明显短于对照组(4.18±1.13)d,住院费用为(2887.59±256.39)元,明显少于对照组(3608.67±284.64)元,两组比较具有统计学意义(P<0.05);观察组健康知识掌握率为91.67%,明显高于对照组60.0%,差异具有统计学意义(P<0.05);观察组产后并发症发生率为1.67%,明显低于对照组11.67%,差异具有统计学意义(P<0.05)。结论按照临床路径实施护理干预和健康教育,能够缩短住院时间,降低住院费用,提高产妇健康知识知晓率。

Objective To investigate the application effect of clinical pathway in natural childbirth. Method 120 cases of women who went to hospital for check and natural delivery were selected as the object of study and divided into the observation group and the control group by using random number table. The pregnant women in the control group received routine nursing and health education while the pregnant women in the observation group received nursing and health education according to the clinical pathway of natural time and content. The hospitalization time, hospitalization expenses and related knowledge of pregnant women in two groups were recorded. And the incidences of postoperative complications of two groups were recorded. Result The hospitalization time in the observation group was （2.29 0.82） days, which was significantly shorter than that of the control group （4. 18 ＋ 1.13） days and hospitalization expenses was （2887.59 ＋ 256.39） Yuan, which was significantly less than that of the control group （ 3608.67 ＋ of 284.64） Yuan. It had statistical significance （P 〈 0.05 ）. The rate of health knowledge of pregnant women in the observation group health knowledge was 91.67%, which was significantly higher than that （60%） of the control group. The difference was statistically significant （P 〈 0.05）. The incidence of postpartum complications of observation group was 1.67%, which was significantly lower than that （ 11.67% ） in control group. The difference was statistically significant （ P 〈 0.05 ）. Conclusion The implementation of nursing intervention and health education by using clinical pathway can shorten the time of hospitalization, reduce hospitalization expenses and improve the awareness rate of maternal health knowledge.