患者版临床路径告知单在计划性剖宫产围手术期的应用研究

摘要

目的：探讨患者版临床路径告知单在计划性剖宫产围手术期的应用效果。方法：选取2013年6月-2014年3月在本院住院分娩的102例计划性剖宫产患者作为研究对象，按照随机数字表法将其分为对照组50例和研究组52例。研究组制定患者版临床路径告知单，按照路径表对产妇进行系统规范的治疗和护理；对照组采用护理版临床路径表对产妇进行护理。观察比较两组产妇术后胃肠功能恢复时间、母乳喂养情况、健康知识掌握情况以及对医护人员的综合满意度等。结果：经治疗和护理后，研究组产妇的排气时间和排便时间均明显短于对照组（P<0.01），纯母乳喂养率75.0%明显高于对照组的40.0%，混合喂养率和未母乳喂养率均明显低于对照组，差异均有统计学意义（P<0.01或P<0.05），且各健康知识掌握率均明显高于对照组（P<0.05）。研究组产妇的科室整体满意度、科室医生满意度、科室护理人员满意度分别为98.1%、98.0%和100%，均明显高于对照组的84.0%、86.0%和88.0%，差异均有统计学意义（P<0.05）。结论：患者版临床路径告知单在计划性剖宫产围手术期的应用，能够提高母乳喂养率，缩短胃肠功能恢复时间，提高产妇健康知识掌握率、对医护人员的综合满意度及医疗护理质量，值得临床推广使用。%Objective:To investigate the application effect of clinical path version of patients informed single in the planned caesarean delivery perioperative.Method:102 patients with planned cesarean section who delivered in our hospital from June 2013 to March 2014 were selected as the research objects,they were divided into the control group for 50 cases and the research group for 52 cases according to the random number table method.The clinical path version of patients informed single was formulated in the research group,and was given systematic,standardized treatment and nursing according to the routing table,the control group was given the nursing according to nursing version of the clinical pathway table.The postoperative gastrointestinal function recovery time,breast feeding,health knowledge and comprehensive satisfaction of medical staff between the two groups were observed and compared.Result:After treatment and nursing,the exhaust time and defecation time of the research group were significantly shorter than the control group(P<0.01),the pure breast-feeding rate of the research group was 75.0%,which was significantly higher than 40.0% of the control group,mixed feeding rate and non breast-feeding rate were significantly lower than the control group(P<0.01 orP<0.05),the rates of health knowledge were significantly higher than the control group(P<0.05).The overall satisfaction of department,department doctor satisfaction and nursing staff satisfaction in the research group were 98.1%,98.0%,100%,which were significantly higher than 84.0%,86.0% and 88.0% in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of clinical path version of patients informed single in the planned caesarean delivery perioperative,can increase the breast-feeding rate,shorten the recovery time of gastrointestinal function,improve maternal health knowledge rate,comprehensive satisfaction to medical staff and the quality of medical care,is worthy of clinical promotion and use.