护理临床路径用于阴道产钳助产76例效果观察.docVIP

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中的实施效果。 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%），差异有统计学意义（P 0.05）。研究组住院天数[（3.83±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[（6365.35±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）。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）-0133-03 　　 　　The effect of clinical nursing pathways used in 76 cases of maternal obstetric forceps delivery 　　CHEN Jia LUO Xin YANG Xiaochang WANG Longqiong▲ 　　Department of Obstetrics, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China [Abstract] Objective To evaluate the implementation effect of clinical nursing pathways in forceps delivery. Methods 126 cases of maternal obstetric forceps delivery from January 2011 to March 2013 in the First Affiliated Hospital of Chongqing Medical University were chosen as study objects. Among those, 76 cases were implemented the clinical pathway as study group, while 50 cases were not implemented clinical nursing path as the control group. The data of respective maternal prognosis, average hospitalization days, hospitalization costs, pregnant women and family satisfaction in two groups were collected and statistically analyzed. Results The study group of maternal prognosis (67.11%) was better than that of the control group (61.00%), the difference was statistically significant (P 0.05). About the average hospitalization days, the study group [(3.83±1.06) d] was shorter than the control group [(4.11±1.35) d], the difference was high statistically significant (P 0.01). While the cost of hospitalization of the study group [(6365.35±152.14) yuan] was less than that of the cost of the control group [(6503.04±179.27) yuan], the dif