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目的:探讨临床路径管理在基层一级医院自然临产阴道分娩中的应用效果,总结其应用体会。方法:依据我院入选标准选取2015年10月至2016年6月40例自然分娩病例进入临床路径,同时依据同样入选标准选取2015年1月至2015年9月未实施临床路径的病例40例进行对照。比较进入临床路径与未进入例临床路径的病例在以下指标是否存在差异:1.平均住院日;2、平均住院费用;3、健康知识掌握程度;4、患者及其家属对医疗护理的满意度;5、并发症的发生率;6、工作人员的满意度;7、患者产后恢复情况。结果:临床路径管理组平均住院日、平均住院费用、健康知识掌握程度、并发症的发生率、满意度及产后恢复情况明显优于常规管理对照组,两组比较P<0.05,有显著差异性。结论:运用临床路径管理能够缩短住院日、减少住院费用,提高患者对健康知识的掌握,减少产后并发症,提高住院满意度及促进产后恢复,值得在基层医院推广运用。
Objective: To explore the application of clinical path management in spontaneous vaginal delivery in primary hospitals, and to summarize its application experience. Methods: According to the inclusion criteria of our hospital, 40 cases of spontaneous delivery from October 2015 to June 2016 were enrolled into the clinical pathway. According to the same inclusion criteria, 40 cases of unprovoked clinical pathway from January 2015 to September 2015 were selected Control. Comparison of clinical pathways and clinical cases did not enter the clinical pathways in the following indicators are there any differences: 1. Average length of stay; 2, the average cost of hospitalization; 3, the degree of knowledge of health; 4, patients and their families on the satisfaction of medical care ; 5, the incidence of complications; 6, staff satisfaction; 7, patients with postpartum recovery. Results: The average length of hospital stay, average hospitalization expenses, the degree of health knowledge, the incidence of complications, satisfaction and postpartum recovery in the clinical pathway management group were significantly better than those of the routine management control group, P <0.05, significant difference . Conclusion: The use of clinical pathway management can shorten the hospitalization days, reduce hospitalization costs, improve patients’ knowledge of health, reduce postpartum complications, improve hospital satisfaction and promote postpartum recovery, so it is worth to promote the use in primary hospitals.