临床护理路径在围生期孕产妇中的应用研究

目的 在产科中运用临床护理路径理论,探索适宜围生期服务的方式.方法 选择在我院产科门诊就诊并建卡的孕妇和住院分娩的孕产妇2597例作为研究对象.实验组1332例,设计围生期各阶段临床护理路径,医护人员按路径的标准化流程合作完成各项内容.对照组1265例,接受常规围生保健教育并按常规分娩方式分娩.2组均观察记录分娩结局,阴道分娩各产程时间,了解产妇对护理服务满意度和实施临床护理路径前后护理人员的心理状态情况等.进行χ2检验和t检验.结果 实验组剖宫产率较对照组显著降低.2组总产程比较差异显著.实验组产妇对护理工作满意度较对照组明显提高.实施临床护理路径前后护理人员在自信心、工作自主性、工作满足感及个人成就感等方面比较差异显著.结论 将临床护理路径引入围生期孕产妇的护理中,增加自然分娩信心,缩短产程,降低剖宫产率,提高产妇对护理工作满意度,改善了护理人员心理状态及整体素质.

Application of clinical nursing pathway in maternal women during perinatal period

Objective To explore the proper service mode during perinatal period in obstetric de-partment through application of clinical nursing pathway theory. Methods 2597 outpatient and inpatient pregnant women were randomly chosen. The experimental group (1332 cases): the clinical nursing pathway in different stages of perinatal period was designed, nurses completed their tasks according to the standard process. The control group (1265 cases): accepted the routine healthcare education and ordinary delivery method. The delivery outcome and the delivery time of the two groups were observed and recorded, satisfac-tion degree with the nursing service and nurses' mental condition before and after the application of clinical nursing pathway were also investigated. Results The rate of cesarean operation of the experimental group was lower than that of the control group. The difference of total delivery time in the two groups was signifi-cant. The satisfaction degree to the nursing service improved obviously in the experimental group. The dif-ference of nurses' self- confidence, self- determination, working satisfaction, sense of competence before and after the application of clinical nursing pathway was significant. Conclusions Application of clinical nursing pathway in pregnant and lying-in women during perinatal period can improve the confidence of natural delivery, shorten the delivery time, reduce the cesarean operation rate, improve satisfaction degree to nurses' work, mental condition, and their general diathesis.