应用临床路径对输卵管妊娠行腹腔镜手术病人进行诊疗护理的效果研究.docVIP

精品论文 参考文献 应用临床路径对输卵管妊娠行腹腔镜手术病人进行诊疗护理的效果研究 史琴艳 刘玲芳 (四川省妇幼保健院 四川成都 610031) 【中图分类号】R714.22+1【文献标识码】A【文章编号】1672-5085（2012）19-0061-02 【摘要】目的 应用临床路径对输卵管妊娠行腹腔镜手术病人进行诊疗护理，并探讨其效果。方法 将2010年7月至2010年12月收治的211例输卵管妊娠行腹腔镜手术病人设为对照组，进行传统的医疗护理；将2011年1月至2011年6月收治的202例输卵管妊娠行腹腔镜手术病人设为实验组，对其按照临床路径的方法实施每日的诊疗护理及健康指导。 结果 实验组平均住院日，平均住院费用较对照组下降；患者满意度、健康指导知识掌握率均高于对照组。结论 应用临床路径对输卵管妊娠行腹腔镜手术病人进行诊疗护理，缩短了平均住院日 ，降低了平均住院费用，避免了医疗资源的浪费，提高了??者满意度和对健康指导知识的掌握率，值得推广。 【关键词】临床路径 输卵管妊娠 腹腔镜手术 诊疗护理 【Abstract】Objective Application of clinical pathway to diagnosis and nursing for the ectopic pregnancy who accept laparoscopic surgical procedure, and discussing the effect. Methods: The patients who accept laparoscopic surgical procedure from July 2010 to Dec in 211 cases set as the control group, with the traditional medical care; the patients who accept laparoscopic surgical procedure from January 2011 to June in 202 cases set as the experimental group, with the daily diagnosis and nursing and health guidance across the clinical pathway. Result: The average day in hospital and average hospital expenses of experimental group are lower than control group; compared with control group, the patient satisfaction and the rate of mastering the knowledge in health guidance of experimental group are improved. Conclusion: Application of clinical pathway to diagnosis and nursing for the ectopic pregnancy who accept laparoscopic surgical procedure, shortening the average day in hospital, cutting down the average hospital expenses, avoiding the waste of medical resource, improving the patient satisfactions and the rate of mastering the knowledge in health guidance, is worthy to be popularized. 【Key words】Clinical pathway Ectopic pregnancy Laparoscopic surgical procedure Diagnosis and nursing 临床路径是医生护士或其他人员共同制定的针对某种诊断或手术所做的最适当的有顺序性和时间性的整体服务计划。目的是使患者获得最佳的服务，减少康复的延迟和资源的浪费[1]。我科于2011年1月将临床路径应用于输卵管妊娠行腹腔镜手术治疗的病人，取得了满意的效果，现报道如下。 1 资料与方法 1.1 一般资料 将我科2010年7月至2010年12月收治的211例输卵管妊娠行腹腔镜手术治疗的患者设为对照组；2011