CAJ | 학술논문

目的：评价护理临床路径在阴道产钳助产产妇中的实施效果。方法选择2011年1月~2013年3月重庆医科大学附属第一医院实施阴道产钳助产的产妇126例为研究对象，其中实施临床路径产妇76例设为研究组，50例未实施护理临床路径为对照组。收集两组产妇预后、平均住院天数、住院费用、孕妇及家属满意度等资料进行统计学分析。结果研究组产妇预后率(67.11%)优于对照组(61.00%)，差异有统计学意义(P<0.05)。研究组住院天数[(3.83±1.06) d]少于对照组[(4.11±1.35)d]，差异有高度统计学意义(P <0.01)；研究组住院费用[(6365.35±152.14)元]少于对照组[(6503.04±179.27)元]，差异有高度统计学意义(P<0.01)。研究组孕妇及家属满意率(92.13%)明显优于对照组(87.35%)，差异有统计学意义(P<0.05)。结论阴道产钳助产临床路径的实施可提高孕妇预后，缩短住院天数，降低住院费用，从而提高医疗质量，节<医疗资源。
목적：평개호리림상로경재음도산겸조산산부중적실시효과。방법선택2011년1월~2013년3월중경의과대학부속제일의원실시음도산겸조산적산부126례위연구대상，기중실시림상로경산부76례설위연구조，50례미실시호리림상로경위대조조。수집량조산부예후、평균주원천수、주원비용、잉부급가속만의도등자료진행통계학분석。결과연구조산부예후솔(67.11%)우우대조조(61.00%)，차이유통계학의의(P<0.05)。연구조주원천수[(3.83±1.06) d]소우대조조[(4.11±1.35)d]，차이유고도통계학의의(P <0.01)；연구조주원비용[(6365.35±152.14)원]소우대조조[(6503.04±179.27)원]，차이유고도통계학의의(P<0.01)。연구조잉부급가속만의솔(92.13%)명현우우대조조(87.35%)，차이유통계학의의(P<0.05)。결론음도산겸조산림상로경적실시가제고잉부예후，축단주원천수，강저주원비용，종이제고의료질량，절<의료자원。
Objective To evaluate the implementation effect of clinical nursing pathways in forceps delivery. Methods 126 cases of maternal obstetric forceps delivery from January 2011 to March 2013 in the First Affiliated Hospital of Chongqing Medical University were chosen as study objects. Among those, 76 cases were implemented the clinical pathway as study group, while 50 cases were not implemented clinical nursing path as the control group. The data of respective maternal prognosis, average hospitalization days, hospitalization costs, pregnant women and family satisfac-tion in two groups were collected and statistically analyzed. Results The study group of maternal prognosis (67.11%) was better than that of the control group (61.00%), the difference was statistically significant (P< 0.05). About the av-erage hospitalization days, the study group [(3.83±1.06) d] was shorter than the control group [(4.11±1.35) d], the dif-ference was high statistically significant (P< 0.01). While the cost of hospitalization of the study group [(6365.35±152.14) yuan] was less than that of the cost of the control group [(6503.04±179.27) yuan], the difference was high sta-tistically significant (P<0.01). The pregnant women and family satisfaction rate of study group (92.13%) was signifi-cantly better than that of the control group (87.35%), the difference was statistically significant (P< 0.05). Conclusion The implementation of forceps delivery of clinical pathways can improve the prognosis of pregnant women, shorten the hospital days, reduce hospitalization expenses, and improve the maternal and family satisfactions, so as to improve the quality of medical cares and save medical resources.