护理临床路径用于阴道产钳助产76例效果观察

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1、护理临床路径用于阴道产钳助产76例效果观察［摘要］目的评价护理临床路径在阴道产钳助产产妇屮的实施效果。方法选择2011年1月〜2013年3月重庆医科大学附属第一医院实施阴道产钳助产的产妇126例为研究对象，其中实施临床路径产妇76例设为研究组，50例未实施护理临床路径为对照组。收集两组产妇预后、平均住院天数、住院费用、孕妇及家属满意度等资料进行统计学分析。结果研究组产妇预后率(67.11%)优于对照组(61.00%),差异冇统计学意义(P<0.05)o研究组住院天数［(3・83土1・06)d］少于对照组［(4.11±1.35)d］,差异有高度统计学意义(P<0.01)；研究组住院费用［(6

2、365.35±152.14)元］少于对照组［(6503.04±179.27)元］,差异有高度统计学意义(P<0.01)o研究组孕妇及家属满意率(92.13%)明显优于对照组(87.35%),差异有统计学意义(P<0.05)。结论阴道产钳助产临床路径的实施可提高孕妇预后，缩短住院天数，降低住院费用，从而提高医疗质量，节约医疗资源。［关键词］临床路径；阴道产钳助产；母体预后；产妇满意度［中图分类号］R197.32［文献标识码］B［文章编号］1673-7210(2014)06(a)-0133-03Theeffectofclinicalnursingpathwaysusedin76casesofm

3、aternalobstetricforcepsdeliveryCHENJiaLUOXinYANGXiaochangWANGLongqiongADepartmentofObstetrics,theFirstAffiliatedHospitalofChongqingMedicalUniversity,Chongqing400016,China[Abstract]ObjectiveToevaluatetheimplementationeffectofclinicalnursingpathwaysinforcepsdelivery.Methods126casesofmaternalobstetri

4、cforcepsdeliveryfromJanuary2011toMarch2013intheFirstAffiliatedHospitalofChongqingMedicalUniversitywerechosenasstudyobjects.Amongthose,76caseswereimplementedtheclinicalpathwayasstudygroup,while50caseswerenotimplementedclinicalnursingpathasthecontrolgroup・Thedataofrespectivematerrialprognosis,averag

5、ehospitalizationdays,hospitalizationcosts,pregnantwomenandfamilysatisfactionintwogroupswerecollectedandstatisticallyanalyzed.ResultsThestudygroupofmaternalprognosis(67.11%)wasbetterthanthatofthecontrolgroup(61.00%),thedifferencewasstatisticallysignificant(P<0.05).Abouttheaveragehospitalizationdays

6、,thestudygroup_(3.83土1.06)d]wasshorterthanthecontrolgroup[(4.11+1.35)d],thedifferencewashighstatisticallysignificant(P<0.01).Whilethecostofhospitalizationofthestudygroup[(6365・35±152.14)yuan]waslessthanthatofthecostofthecontrolgroup[(6503.04+179.27)yuan],thediffereneewashighstatisticallysignifican

7、t(P<0.01).Thepregnantwomenandfamilysatisfactionrateofstudygroup(92・13%)wassignificantlybetterthanthatofthecontrolgroup(87.35%),thediffereneewasstatisticallysignificant(P<0.05).ConclusionTheimplementationofforceps