国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
4期
478-481
,共4页
临床护理路径%健康教育%自然分娩%初产妇
臨床護理路徑%健康教育%自然分娩%初產婦
림상호리로경%건강교육%자연분면%초산부
Clinical care path%Health education%Natural childbirth%Early pregnancy
目的 评价临床护理路径指导健康教育对自然分娩初产妇的效果.方法 选择我院自然分娩初产妇114例,随机分为观察组和对照组,各57例;观察组应用临床护理路径进行健康教育,对照组应用常规护理,比较两组患者围产期母乳喂养、饮食合理、产后训练、抚摸和游泳等的掌握情况,对护理工作满意度,分娩后下床时间、总住院时间以及住院费用.结果 观察组住院时间平均为2天,对照组平均为3.3天,两组住院时间比较差异有显著性(P＜0.05):住院费用观察组平均为2100元,对照组平均为3010元,两组住院费用比较差异有显著性(P＜0.05):术后下床时间观察组平均9.5h,对照组平均12.3 h,经分析两组差异有显著性(P＜0.05).观察组良好掌握健康教育知识产妇比率为86.0%,对照组为54.4%;观察组对护理工作满意度为93.0%,对照组为71.9%;两组良好掌握健康教育知识产妇比率和对护理工作满意度比较差异均有显著性(P＜0.05).两组母婴围产期母乳喂养、饮食合理、产后训练、抚摸和游泳各项比较差异均有显著性(P＜0.05).结论 临床护理路径是一种科学的护理管理模式,在临床医疗工作中可行性强,值得推广.
目的 評價臨床護理路徑指導健康教育對自然分娩初產婦的效果.方法 選擇我院自然分娩初產婦114例,隨機分為觀察組和對照組,各57例;觀察組應用臨床護理路徑進行健康教育,對照組應用常規護理,比較兩組患者圍產期母乳餵養、飲食閤理、產後訓練、撫摸和遊泳等的掌握情況,對護理工作滿意度,分娩後下床時間、總住院時間以及住院費用.結果 觀察組住院時間平均為2天,對照組平均為3.3天,兩組住院時間比較差異有顯著性(P＜0.05):住院費用觀察組平均為2100元,對照組平均為3010元,兩組住院費用比較差異有顯著性(P＜0.05):術後下床時間觀察組平均9.5h,對照組平均12.3 h,經分析兩組差異有顯著性(P＜0.05).觀察組良好掌握健康教育知識產婦比率為86.0%,對照組為54.4%;觀察組對護理工作滿意度為93.0%,對照組為71.9%;兩組良好掌握健康教育知識產婦比率和對護理工作滿意度比較差異均有顯著性(P＜0.05).兩組母嬰圍產期母乳餵養、飲食閤理、產後訓練、撫摸和遊泳各項比較差異均有顯著性(P＜0.05).結論 臨床護理路徑是一種科學的護理管理模式,在臨床醫療工作中可行性彊,值得推廣.
목적 평개림상호리로경지도건강교육대자연분면초산부적효과.방법 선택아원자연분면초산부114례,수궤분위관찰조화대조조,각57례;관찰조응용림상호리로경진행건강교육,대조조응용상규호리,비교량조환자위산기모유위양、음식합리、산후훈련、무모화유영등적장악정황,대호리공작만의도,분면후하상시간、총주원시간이급주원비용.결과 관찰조주원시간평균위2천,대조조평균위3.3천,량조주원시간비교차이유현저성(P＜0.05):주원비용관찰조평균위2100원,대조조평균위3010원,량조주원비용비교차이유현저성(P＜0.05):술후하상시간관찰조평균9.5h,대조조평균12.3 h,경분석량조차이유현저성(P＜0.05).관찰조량호장악건강교육지식산부비솔위86.0%,대조조위54.4%;관찰조대호리공작만의도위93.0%,대조조위71.9%;량조량호장악건강교육지식산부비솔화대호리공작만의도비교차이균유현저성(P＜0.05).량조모영위산기모유위양、음식합리、산후훈련、무모화유영각항비교차이균유현저성(P＜0.05).결론 림상호리로경시일충과학적호리관리모식,재림상의료공작중가행성강,치득추엄.
Objective To evaluate the clinical path of guidance to health care and education for pregnant women on the early effects of natural childbirth. Methods 114 cases of pregnant women with early spontaneous labor in our hospital were randomly divided into 2 groups (57 patients for each), clinical nursing for health education was conducted in the 57 patients of observation group, while control group received usual care, 2 groups were compared perinatal breastfeeding, reasonable diet, post-natal training, touching, swimming and nursing job satisfaction, out of bed time after postpartum, total hospital stays and hospital costs.Results There was significant difference between 2 groups (P＜0.05) in average length of hospital stays (2 days in observation group and 3.3 days in control one),hospital costs (average 2100 RMB in observation group and 3010 RMB in control one), out of bed time after postpartum (average 9.5 hours in observation group, 12.3 hours in control one), good health education (86.0% and 54.4% respectively), nursing job satisfaction (93.0% and 71.9% respectively), perinatal breastfeeding, reasonable diet, post-natal training,touching and swimming. Conclusion The clinical care path is a scientific nursing management mode with strong feasibility in clinical medical treatment and should be put into use popularly
