临床护理路径在腹腔镜胆囊切除术患者中的应用研究【终稿】.docVIP

上海交通大学网络教育学院医学院分院 2013级（春）护理学专业毕业论文 题 目：临床护理路径在腹腔镜胆囊切除术患者中的应用研究 实习单位：免实习 学 号： 姓 名： 导 师： 二0一 五 年 四 月 临床护理路径在腹腔镜胆囊切除术患者中的应用研究 [摘要] 目的 分析和探讨临床护理路径与传统护理模式对腹腔镜胆囊切除术患者的影响, 达到提高护理质量及提高患者满意度的目的。 对象与方法 选择我全科住院部2012年7月至2014年6月期间连续收治腹腔镜胆囊切除术患者224 例, 根据患者入院时间随机分为传统护理模式组(对照组) 和临床护理路径组(CNP组)各112例, 分别接受传统护理和依据临床护理路径的护理。记录、分析、比较两组患者平均住院时间和平均住院费用、护理满意度、并发症的发生率等的差异。所得数据应用SPSS17.0软件进行统计学处理,　采用t检验和χ2检验, P0.05表示差异有统计学意义。 结果 临床护理路径组病人住院天数为（1.7±1.3）天，显著少于对照组（3.6±2.1）天；CNP组病人住院费用（7924±417）元，显著少于对照组（10190±620）元, 差异均有统计学意义（P0.05）。CNP组病人满意率为98.2%, 显著高于对照组的77.6%，差异有统计学意义（P0.05）。两组病人的并发症的并发率均为0。 结论 实施腹腔镜胆囊切除术临床护理路径，缩短了患者住院天数，减少了患者医疗费用，提高了患者的满意度。 同时，有效利用医疗资源，解决群众“看病贵”的问题，控制医疗费用的增长，提高医院社会效益。 [关键词] 临床护理路径；腹腔镜胆囊切除术；效果 Research in clinical nursing pathway in patients undergoing laparoscopic cholecystectomy [Abstract] Objective To investigate and analyze the effects of clinical nursing pathway(CNP) and traditional custom in patients undergoing laparoscopic cholecystectomy(LC), so as to improve nursing quality and patients’satisfaction. Methods Two hundreds and twenty-four LC patients were enrolled from July 2012 to June 2014, divided into the clinical nursing pathway group (the CNP group) and the traditional nursing group (the parallel control group) with 112 cases in each group. The clinical nursing pathway group implemented the treatment table process according to its schedule, while the parallel control group completed the treatment according to traditional customs. Then we compare the differences between two groups of hospitalized patients in the length of hospital stay、hospitalization cost、healthcare quality、patients’ satisfaction etc. The data was statistical analyzed by descriptive analysis、T test、Chi-square test and so on. P 0.05 was considered statistically significant. Results The length of stay of clinical nursing pathway is （1.7±1.3）days, shorter than that of the parallel control group（3.6±2.1）days by 1.9 days; The hospitalization cost of