CAJ | 학술논문

目的：探讨临床护理路径在腹腔镜辅助下行阴式全子宫切除术患者中的应用效果。方法将2013年1-12月期间在我院妇科住院行腹腔镜辅助下阴式全子宫切除术的66例患者按入院先后顺序分为观察组和对照组（常规护理组）各33例，观察组（临床护理路径组）采用腹腔镜辅助下阴式子宫切除术临床护理路径，对照组（常规护理组）实行常规的腹腔镜辅助下阴式子宫切除术护理流程，比较两组患者住院天数、住院费用、术后首次下床时间、首次排气时间、术后并发症发生率、患者及家属的满意率。结果观察组住院天数、住院费用、术后首次下床时间、首次排气时间、术后并发症发生率均少于对照组，患者及家属满意度高于对照组，差异具有统计学意义（P＜0．05）。结论临床护理路径应用于腹腔镜辅助下阴式子宫切除术患者，可以明显减少并发症，降低诊疗费用，减少住院时间，提高患者及家属的满意度，使广大患者获得更佳的护理服务。
목적：탐토림상호리로경재복강경보조하행음식전자궁절제술환자중적응용효과。방법장2013년1-12월기간재아원부과주원행복강경보조하음식전자궁절제술적66례환자안입원선후순서분위관찰조화대조조（상규호리조）각33례，관찰조（림상호리로경조）채용복강경보조하음식자궁절제술림상호리로경，대조조（상규호리조）실행상규적복강경보조하음식자궁절제술호리류정，비교량조환자주원천수、주원비용、술후수차하상시간、수차배기시간、술후병발증발생솔、환자급가속적만의솔。결과관찰조주원천수、주원비용、술후수차하상시간、수차배기시간、술후병발증발생솔균소우대조조，환자급가속만의도고우대조조，차이구유통계학의의（P＜0．05）。결론림상호리로경응용우복강경보조하음식자궁절제술환자，가이명현감소병발증，강저진료비용，감소주원시간，제고환자급가속적만의도，사엄대환자획득경가적호리복무。
Objective To explore the effect of clinical perioperative nursing pathway in patients those who received laparoscope assisted vaginal hysterectomy ( LAVH).Methods 66 patients, those who received laparoscope assisted vaginal hysterectomy in department of gynaecology in our hospial during January 2013 and December 2013, were randomly divided into observation group ( clinical nursing path group ) and control group ( routine nursing group ) according to admission order , 33 patients in each group .Compared the indexes of the two groups which including hospital stay , hospital costs, the first time for patients to get off patient -bed, the first time to have anal exhaust , incidence rates of complications , satisfactoriness of patients and their family members . Results Hospital stay, hospital costs, the first time for patients to get off patient -bed, the first time to have anal exhaust and incidence rates of complications of observation group were significantly less than those of control group, but the satisfactoriness was precede that of control group (P<0.05).Conclusions The clinical nursing pathway for LAVH patients can decrease the occurrence of complications , the medical costs and hospital stay , and can improve the satisfactoriness of both patient and their family , as well as nursing quality and efficiency .