CAJ | 학술논문

目的：对胸外科实施整体护理路径过程中的临床疗效进行评价，为护理工作质量的提高提供临床基础。方法选取最常见的四种临床护理路径前后患者799例，按照随机原则分为观察组和对照组，观察组给予整体临床路径护理，而对照组实施普通护理方法。对先天性心脏病、风湿性心脏病、普胸以及冠心病等的临床护理路径和护理路径实施过程中患者在就医经济支出、住院时间、护理服务质量、患者对诊疗结果满意度等方面的表现情况进行比较并分析。结果实施整体护理路径后，与对照组相比，观察组4类患者的术前住院天数、术后住院天数以及整体住院天数均显著减少（P<0.05）；不同分类下观察组患者比对照组患者的整体医疗费用降低金额平均在（972.00±207.60）元；观察组患者护理服务质量结果评价显著优于组（P<0.05）；观察组患者对临床护理和治疗结果的满意度显著优于对照组（P<0.05）。所得结果产生的差异性均有统计学意义，具有可比性。结论整体护理路径的实施，降低了医护人员在清酒和诊疗过程中的被动性和盲从行，提高了员医护工作的条理性和专业性。作为当今较为成熟且效果优势显著的护理模式，充分肯定了医疗工作对服务大众的普遍性，为我国医疗质量的提高提供了更有利的方向，对临床护理的发展和进步具有重要意义。
목적：대흉외과실시정체호리로경과정중적림상료효진행평개，위호리공작질량적제고제공림상기출。방법선취최상견적사충림상호리로경전후환자799례，안조수궤원칙분위관찰조화대조조，관찰조급여정체림상로경호리，이대조조실시보통호리방법。대선천성심장병、풍습성심장병、보흉이급관심병등적림상호리로경화호리로경실시과정중환자재취의경제지출、주원시간、호리복무질량、환자대진료결과만의도등방면적표현정황진행비교병분석。결과실시정체호리로경후，여대조조상비，관찰조4류환자적술전주원천수、술후주원천수이급정체주원천수균현저감소（P<0.05）；불동분류하관찰조환자비대조조환자적정체의료비용강저금액평균재（972.00±207.60）원；관찰조환자호리복무질량결과평개현저우우조（P<0.05）；관찰조환자대림상호리화치료결과적만의도현저우우대조조（P<0.05）。소득결과산생적차이성균유통계학의의，구유가비성。결론정체호리로경적실시，강저료의호인원재청주화진료과정중적피동성화맹종행，제고료원의호공작적조이성화전업성。작위당금교위성숙차효과우세현저적호리모식，충분긍정료의료공작대복무대음적보편성，위아국의료질량적제고제공료경유리적방향，대림상호리적발전화진보구유중요의의。
Objective: On the implementation of the overall process of thoracic surgery nursing path to evaluate the clinical efifcacy, provide a basis for improving clinical care quality.Method: Select the four most common patient clinical care path around 799 cases, according to the randomly divided into observation group and control group, the overall observation group were given clinical pathway care, nursing and general implementation of the control group. Congenital heart disease, rheumatic heart disease, thoracic and coronary heart disease and other clinical care path and implementation process, patient care path economic costs for medical treatment, hospitalization, quality of care, patient satisfaction with the performance of the terms of degree of treatment results in were compared and analyzed.Result: After the implementation of the overall care path, compared with the control group, the number of hospital days before surgery observation group four categories of patients, postoperative hospital stay, and overall hospital stay were signiifcantly reduced (P<0.05); different categories under observation group than in the control group of patients reduce overall health care costs in the amount of the average (972.00 ± 207.60) yuan; quality of care outcomes for patients in the observation group were signiifcantly better than the group evaluate (P<0.05); observe patients for clinical care and satisfaction with treatment outcome was signiifcantly better than the control group (P<0.05). The results produced statistically signiifcant differences, comparable.Conclusion:Implementation of the overall care path, reducing the health care and the treatment process at the sake of passivity and obedience lines, improving the rational members of health care work and professionalism. As the advantages of today’s more mature and signiifcant effect care model, fully afifrmed the work of serving the public health universality, to improve the quality of medical care to provide a more favorable direction, has important implications for clinical care of development and progress.