CAJ | 학술논문

目的：探讨路径式综合护理在慢性盆腔炎患者中的应用效果。方法选取180例在妇科进行治疗的慢性盆腔炎患者作为研究对象，按照随机数字表法随机分为观察组和对照组各90例。对照组采用常规护理模式，观察组在对照组基础上应用路径式综合护理干预。比较两组患者的生存质量、治疗效果及满意度。结果观察组患者生理功能、生理职能、身体疼痛、总体健康、活力、社会功能、精神健康及情感职能维度的评分分别为（65．9±11．1），（67．8±11．3），（68．1±10．0），（77．2±12．6），（70．8±11．0），（78．0±11．5），（77．6±11．3），（80．4±10．7）分，均优于对照组，差异有统计学意义（t值分别为6．983，9．042，10．819，19．037，13．820，25．174，17．358，28．974；P＜0．01）。观察组患者痊愈36例，显效21例，有效30例，无效3例，与对照组比较差异有统计学意义（Z＝5．858，P＜0．05）。观察组患者对治疗非常满意77例，满意11例，不满意2例，与对照组比较差异有统计学意义（ Z ＝6．678， P ＜0．05）。结论路径式综合护理对于慢性盆腔炎患者有较好的治疗效果，能够提升患者的生存质量和治疗满意度。
목적：탐토로경식종합호리재만성분강염환자중적응용효과。방법선취180례재부과진행치료적만성분강염환자작위연구대상，안조수궤수자표법수궤분위관찰조화대조조각90례。대조조채용상규호리모식，관찰조재대조조기출상응용로경식종합호리간예。비교량조환자적생존질량、치료효과급만의도。결과관찰조환자생리공능、생리직능、신체동통、총체건강、활력、사회공능、정신건강급정감직능유도적평분분별위（65．9±11．1），（67．8±11．3），（68．1±10．0），（77．2±12．6），（70．8±11．0），（78．0±11．5），（77．6±11．3），（80．4±10．7）분，균우우대조조，차이유통계학의의（t치분별위6．983，9．042，10．819，19．037，13．820，25．174，17．358，28．974；P＜0．01）。관찰조환자전유36례，현효21례，유효30례，무효3례，여대조조비교차이유통계학의의（Z＝5．858，P＜0．05）。관찰조환자대치료비상만의77례，만의11례，불만의2례，여대조조비교차이유통계학의의（ Z ＝6．678， P ＜0．05）。결론로경식종합호리대우만성분강염환자유교호적치료효과，능구제승환자적생존질량화치료만의도。
Objective To explore the application value of comprehensive nursing path for patients with chronic pelvic inflammatory disease .Methods A total of 180 patients with chronic pelvic inflammation were randomly divided into observation group and control group on average .The control group received routine care for patients with chronic pelvic inflammatory disease , while the observation group underwent comprehensive comprehensive nursing path based on routine .The quality of life , effect of treatment and patients ’ satisfaction were compared .Results After intervention , the dimension assessment score of physical function , physical role , pain, health, vigor, social function, mental health and emotional function were (65.9 ±11.1),(67.8 ± 11.3),(68.1 ±10.0),(77.2 ±12.6),(70.8 ±11.0),(78.0 ±11.5),(77.6 ±11.3) and (80.4 ±10.7) in the observation group, which were better than those in the control group (t =6.983,9.042, 10.819, 19.037, 13.820, 25.174, 17.358, 28.974, respectively;P<0.01).The patients in the observation group had thirty six cured, twenty one dramatically effective, thirty effective and three invalid (Z=5.858,P<0.05). For assessment of satisfaction , there were seventy seven felt very satisfied , eleven satisfied and two unsatisfied (Z =6.678,P <0.05).Conclusions The comprehensive nursing path has a better therapeutic effect for patients with chronic pelvic inflammatory disease by improving the quality of life and treatment satisfaction .