MSI服务规程及CNP在宫内节育器嵌顿与异位手术中的应用

目的：探讨玛丽斯特普（MSI）服务规程和临床护理路径（CNP）用于宫内节育器（IUD）嵌顿和异位取出术中的实施效果。方法：选择2005年1月～2008年9月140例IUD嵌顿和异位需要手术治疗而无手术禁忌证者,分为门诊手术治疗组60例（门诊A组）,对照组60例（门诊B组）,住院手术治疗组20例（住院A组）,并选择2000年1月～2004年12月20例IUD嵌顿和异位需要手术治疗而无手术禁忌证者作为对照组（住院B组）。治疗组应用MSI服务规程和CNP,对照组行常规护理。观察两组受术者的焦虑水平、住院天数、住院费用、健康知识掌握和满意度有无差异及统计学意义。结果：治疗组术后焦虑水平明显低于对照组,治疗组住院天数为（8.5±1.5）d,对照组为（11.5±4.5）d,治疗组住院费用为（1800±180）元,对照组为（2600±350）元,治疗组受术者健康知识掌握评分为（27.5±4.1）分,对照组为（20.2±3.6）分,治疗组满意度为100.0%,对照组满意度为80.5%。经统计学处理差异有统计学意义（P〈0.05）。结论：MSI服务规程和CNP的应用降低了受术者的焦虑水平和住院费用,减少了住院天数,提高了受术者的健康意识和满意度。

Application of the MSI service order and CNP in the surgery of incarceration and ectopia of intrauterine contraceptive device (IUD)

Objective： To study and explore the implementation effect of Marie Depp （MSI） service order and clinical nursing pathway （CNP） on the removal sugery of the incarceration and ectopia of intrauterine contraceptive device （IUD）. Methods： From January 2005 tO September 2008, 140 cases of incarceration and ectopia of intrauterine contraceptive device （IUD） and without surgical contraindication were randomly divided into three groups： out-patient surgery group （out-patient A group, 60 cases）, control group （out-patient B group, 60 cases）, inpatient surgery group （inpatient A group, 20 cases）; from January 2000 to December 2004, 20 cases involved in retrospective analysis were selected as the control group （inpatient B group）. The surgery groups were treated with MSI service order and CNP, and the control groups were treated with usual care, the the anxiety level, hospitalization days, hospitalization expenses, patients＇ knowledge on health and their satisfactory rates were observed. Results： The anxiety level in surgery groups was significant lower than that in control group, and the hospitalization days in surgery group and control group were （8.5±1.5） d and （11.5±4.5） d respectively; the hospitalization expenses in surgery group and control group were （1 800±180） yuan and （2 600±350） yuan respectively, the patients＇ knowledge on health scores in surgery group and control group were （27.5±4.1） score and （20.2±3.6） score respectively, and the satisfactory rates in surgery group and control group were 100% and 80.5% respectively, and all these indexes showed statistical differences between the surgery group and control group （P〈0.05）. Conclusion： The application of both MSI service order and CNP reduces the anxiety level and hospitalization expenses, decreases the hospitalization days, and improves the health consciousness and satisfactory rates of patients.