腹股沟疝临床路径的护理体会.docVIP

精品论文 参考文献 腹股沟疝临床路径的护理体会 陈正雯（自贡市富顺县人民医院 四川自贡 643200） 【中图分类号】R473.5【文献标识码】A【文章编号】1672-5085（2012）15-0106-03 【摘要】目的 运用临床护理路径，使护理活动人性化、标准化、程序化，规范了护理行为，使护理工作不再盲目机械，而是有计划、有预见地执行。方法 选择住院腹股沟疝患者90例，随机分为临床路径组和对照组各45例，临床路径组按制订好的临床路径进行护理，对照组采用常规护理方法，调查两组患者的住院天数、住院费用、并发症发生率及护理质量满意度等指标。结果 临床路径组平均住院天数、平均住院费用、护理质量满意度优于对照组，临床路径组患者并发症发生率低于对照组。结论 实施临床护理路径，可减少患者的住院天数及术后不良反应与并发症的发生，减轻患者家庭经济负担，符合日益激烈的医疗市场竞争的需要，可使医院具有良好的竞争优势。 【关键词】腹股沟疝 临床路径 护理 The nursing experience of inguinal hernia clinical pathway 【Abstract】 Objective: To use clinical care paths, care activities humane, standardization of procedures, standardized nursing behavior, nursing jobs are no longer blind mechanical, but there are plans to have foreseen implementation. Methods: 90 cases of hospitalized patients with inguinal hernia were randomly divided into the clinical pathway group and control group 45 cases, the clinical pathway group by developing good clinical pathway for care control group using conventional methods of care, the survey of two groups of patients hospitalized days cost of hospitalization, complication rate and quality of care and satisfaction indicators. Results: The clinical pathway group average hospitalization days, the average cost of hospitalization, quality of care satisfaction than the control group, patients with clinical pathway group complication rate is lower than the control group. Conclusion: The implementation of clinical care path can reduce the patients hospital stay and the occurrence of postoperative adverse reactions and complications, reduce the economic burden on the patients family, to meet the increasingly intense health care needs of market competition, and enable the hospital has a good competitive advantage. 【Key words】inguinal hernia clinical pathway care 随着我国改革开放和医疗体制改革的深入，医院更注重质量和效益的提高。降低医疗成本和提高服务质量已成为两个普遍的社会价值，让人民大众用低廉的费用获得比较优质的服务一直是广大医疗管理者研究的问题。为此，一种先进的医疗服务模式—临床护理路径，以其高品质、高效率、低费用的优势引入了国内。临床护理路径是加速患者康复，减少资源浪费的一种护理服务模式，是针对某一疾病，以时间为横轴，以入院时的指导，接诊时的诊断、检查、用药、治疗、护理、饮食