临床路径在前列腺汽化电切术中的应用探讨

目的探讨临床路径在前列腺增生症行经尿道前列腺汽化电切术患者中的应用成效。方法将60例经尿道前列腺汽化电切术的患者随机分为观察组和对照组，每组各30例。观察组按制定好的临床路径进行诊疗护理。对照组采用传统的医疗护理模式。结果观察组患者的住院天数、住院费用明显低于对照组（P〈0．01），患者满意度增高（P〈0．05）。观察组护理人员在工作自主性、满足感和成就感上优于对照组的护理人员（P〈0．01）。结论临床路径应用于前列腺汽化电切术患者，可减少无效住院日，降低医疗费用，减少术后并发症。不仅提高了患者满意度，还增强了护理人员的工作自主性、满足感和成就感，规范了护理行为，提高了护理质量，有良好的应用前景。

Discussion on application of clinical pathway in the transurethral resection of prostate

Objective To explore the effects of clinical pathway in patients with benign prostatic hyperplasia undergoing transurethral resection of the prostate. Methods Sixty patients undergoing transurethral resection of prostate were randomly divided into observation group and control group, 30 patients in each group. The observation group received the developed clinical pathway care program. The control group received the traditional medical care model. Results The length of hospital, stay, hospital costs in the observation group were significantly lower than those in the control group（P 〈 0. 01 ）. Patients＇ satisfactory degree （P 〈 0. 05 ）. Nurses＇ work initiative, satisfaction and a sense of achievement in observation group were better than those in the control group （P 〈 0.01 ）. Conclusion The application of clinical pathway in patients undergoing transv.rethral resection of the prostate can reduce the ineffective length of hospital stay, lower health care costs and reduce postoperative complications. It not only can improve patients＇ satisfaction degree, but also enhance nurses ＇ work initiative, satisfaction and a sense of achievement, stand- ardize nursing behavior, improve quality of care, and have a good prospect.