临床路径用于子宫肌瘤切除术患者护理的效果评价

Clinical Pathway for the Evaluation of Nursing for Patientswith

Resection of Uterine Fibroids Effect

周雪梅

（河源市连平县人民医院，广东  河源，517100）

中图分类号：R47    文献标识码：A    文章编号：1674-7860(2015)21-0122-03    证型：IDGB

【摘  要】目的：探讨和研究临床路径用于子宫肌瘤切除术患者护理上的效果，为临床护理方案选择提供必要依据。方法：研究对象选取为2011年1月—2013年12月我院收治的100例子宫肌瘤患者，根据患者入院编号不同随机分为观察组和对照组各50例，两组患者均采用子宫肌瘤切除术治疗，对照组采用常规护理措施，观察组则在临床路径指导下实施护理，对两组患者的并发症发生率、住院时间、住院费用及护理满意度进行统计对比。结果：观察组患者的并发症发生率、住院时间、住院费用分别为6%、（4.5±0.7）d、（3554.2±155.6）元，显著低于对照组的14.0%、（7.9±1.6）d、(4822.9±214.6)元，观察组患者的护理满意度为100%，显著高于对照组的90.0%，差异均具有统计学意义（P＜0.05）。结论：临床路径指导下的护理措施更加规范化和科学化，能够为患者提供更加优质的护理服务，有效地减少了患者的并发症发生率、住院时间和住院费用，提高了护理满意度，值得在临床上推广和应用。

【关键词】子宫肌瘤切除术；临床路径；护理

【Abstract】Objective: To investigate the clinical andresearch path for myomectomy nursing effect on patients, to provide thenecessary basis for the selection of clinical nursing plan. Methods: the objectof study selected 100 cases of uterine leiomyoma is between 2011.1 to  2013.12 in our hospital, according to randomly divided into observationgroup and control group with 50 cases in each group in different patientadmission number, two groups of patients with uterine fibroids resectiontreatment, the control group with routine nursing measures, the observationgroup was implemented in clinical nursing path guidance, the two groups ofpatients with complication rate, hospitalization time, cost of hospitalizationand nursing satisfaction for statistical comparison. Results: the patients inthe observation group the incidence of complications, hospital stay, hospitalcosts were 6%, (4.5±0.7)d, (3554.2±155.6)yuan, significantly lower than the control group14%, (7.9±1.6)d, (4822.9±214.6) yuan, observation and nursing satisfaction ofpatient group was 100%, significantly higher than 90% in the control group, thedifferences were statistically significance (P<0.05). Conclusion: nursing of clinical path under the guidanceof a more standardized and scientific, can provide better nursing service forpatients, effectively reduce the patient's complication rate, hospitalizationtime and hospital costs, improve nursing satisfaction, worthy of clinicalpopularization and application.

【Keywords】Myomectomy; Clinical Path; Nursing

    doi:10.3969/j.issn.1674-7860.2015.21.063

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