临床护理路径在产科初产妇分娩中的应用

目的 研究临床护理路径在初产妇分娩中的作用.方法 将2009年5月至2010年5月在我院分娩的240名初产妇随机均分为实验组和对照组.实验组采用临床护理路径的方式开展医护工作;对照组给予产科常规护理.比较两组产妇护理满意度以及护理质量的达标率、母乳喂养基本知识以及母婴保健基本知识的掌握程度、新生儿护理技能合格率和产后并发症发生率.结果 实验组产妇护理的满意度、护理质量合格率、母乳喂养基本知识、母婴保健知识的掌握程度、新生儿护理技能合格率均高于对照组(P＜0.05);实验组产妇术后尿潴留和乳房硬结肿胀发生率均低于对照组(P＜ 0.05).结论 在产科初产妇管理中应用临床护理路径能提高护理质量和产妇对护理工作的满意度,值得临床推广.

Application of clinical nursing pathway in primipara during childbirth

Objective To explore the role of clinical nursing pathway in primipara during childbirth. Methods 240 pregnant women were randomly divided into study group and control group （ 120 for each group ）. The study group received clinical nursing pathway, while the control group received routine obstetrical care. The satisfaction on nursing care, standard rate of nursing quality, basic knowledge of maternal feeding and maternal and infant health care, and neonatal nursing skills, and postnatal complications were compared between the two groups. Results There was significant difference between the study group and the control group in satisfaction on nursing care （ 97.50% vs. 90.00% ）, standard rate of nursing quality （ 100% vs. 90.83% ）, basic knowledge of maternal feeding and maternal and infant health care, and neonatal nursing skills （ P〈 0.05 ）. The incidence rate of postnatal complications was significantly lower in the study group than in the control group （ P 〈 0.05 ）. Conclusions Application of clinical nursing pathway can improve the nursing quality and satisfaction level on nursing care. It is worth popularizing.