CAJ | 학술논문

目的探讨临床护理路径在腹股沟疝手术围手术期的应用.方法对患者实施临床护理路径,患者入院后医护人员分别按每日医疗护理CP开展工作,填写自制的<腹股沟疝相关知识登记表>和<住院患者护理满意度调查表>,记录所有患者的住院天数、住院费用,分析患者的满意度以及治疗效果.结果临床路径组平均住院天数、平均药品费用、平均住院费用优于传统手术组,临床路径组患者出院后对护理质量的满意度优于传统手术组,两组患者均未见明显并发症.结论对腹外疝无张力修补术患者依照CPN的模式实施护理,降低了患者的住院天数和住院费用,使护理质量满意度得到明显提高,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.
목적 탐토림상호리로경재복고구산수술위수술기적응용.방법 대환자실시림상호리로경,환자입원후의호인원분별안매일의료호리CP개전공작,전사자제적<복고구산상관지식등기표>화<주원환자호리만의도조사표>,기록소유환자적주원천수、주원비용,분석환자적만의도이급치료효과.결과 림상로경조평균주원천수、평균약품비용、평균주원비용우우전통수술조,림상로경조환자출원후대호리질량적만의도우우전통수술조,량조환자균미견명현병발증.결론 대복외산무장력수보술환자의조CPN적모식실시호리,강저료환자적주원천수화주원비용,사호리질량만의도득도명현제고,부합일익격렬적의료시장경쟁적수요,가사의원구유량호적경쟁우세.
Objective To explore the clinical care pathway in the perioperative period of inguinal hernia repair. Methods Clinical care pathway was performed. Medical staff started their work according to daily medical and nursing CP. Self-made "Knowledge of Inguinal Hernia Registration Form"and "Inpatient Care Satisfaction Survey" were filled out to record length of hospital stay and costs of hospitalization. The efficacy of treatment and the patient satisfaction were analyzed. Results The group with care pathway was superior to the conventional group in the average length of hospital stay and the costs of medication use and hospitalization. Care satisfaction was higher in group with care pathway than in the conventional group. No obvious complications occurred in both groups. Conclusions The model of clinical care pathway for tension-free hernia repair can reduce length of hospital stay and costs of hospitalization and markedly improve nursing satisfaction.