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[目的]探讨混合痔临床护理路径实施过程中负性变异发生的原因,并对负性变异进行管理,提高临床护理路径实施质量。[方法]对中医肛肠科实施混合痔临床路径产生变异病例的负性变异原因进行分析。[结果]医务人员占46.32%,病人占38.95%,医院系统占14.74%。[结论]通过对负性变异的来源、性质和过程,采取有效的方法来处理,加强护士临床护理路径的学习与培训,加强护患沟通等减少临床护理路径中的负性变异的发生。
[Objective] To investigate the causes of negative variation in the implementation of clinical nursing path of mixed hemorrhoids, and to manage the negative variation and improve the quality of clinical nursing path. [Method] Analyze the reason of the negative variation of the clinical path of mixed hemorrhoid in traditional Chinese medicine anus and intestine department. [Results] Medical staff accounted for 46.32%, patients accounted for 38.95%, hospital system accounted for 14.74%. [Conclusion] By taking the source, nature and process of negative mutation as an effective way to deal with and strengthen the study and training of nurses’ clinical nursing path, strengthening the communication between nurses and patients to reduce the occurrence of negative mutation in the path of clinical nursing.