摘要
目的 评价临床护理路径指导健康教育对自然分娩初产妇的效果.方法 选择我院自然分娩初产妇114例,随机分为观察组和对照组,各57例 观察组应用临床护理路径进行健康教育,对照组应用常规护理,比较两组患者围产期母乳喂养、饮食合理、产后训练、抚摸和游泳等的掌握情况,对护理工作满意度,分娩后下床时间、总住院时间以及住院费用.结果 观察组住院时间平均为2天,对照组平均为3.3天,两组住院时间比较差异有显著性（P＜0.05）：住院费用观察组平均为2100元,对照组平均为3010元,两组住院费用比较差异有显著性（P＜0.05）：术后下床时间观察组平均9.5h,对照组平均12.3 h,经分析两组差异有显著性（P＜0.05）.观察组良好掌握健康教育知识产妇比率为86.0%,对照组为54.4% 观察组对护理工作满意度为93.0%,对照组为71.9% 两组良好掌握健康教育知识产妇比率和对护理工作满意度比较差异均有显著性（P＜0.05）.两组母婴围产期母乳喂养、饮食合理、产后训练、抚摸和游泳各项比较差异均有显著性（P＜0.05）.结论 临床护理路径是一种科学的护理管理模式,在临床医疗工作中可行性强,值得推广.
Objective To evaluate the clinical path of guidance to health care and education for pregnant women on the early effects of natural childbirth. Methods 114 cases of pregnant women with early spontaneous labor in our hospital were randomly divided into 2 groups （57 patients for each）, clinical nursing for health education was conducted in the 57 patients of observation group, while control group received usual care, 2 groups were compared perinatal breastfeeding, reasonable diet, post-natal training, touching, swimming and nursing job satisfaction, out of bed time after postpartum, total hospital stays and hospital costs.Results There was significant difference between 2 groups （P〈0.05） in average length of hospital stays （2 days in observation group and 3.3 days in control one）,hospital costs （average 2100 RMB in observation group and 3010 RMB in control one）, out of bed time after postpartum （average 9.5 hours in observation group, 12.3 hours in control one）, good health education （86.0% and 54.4% respectively）, nursing job satisfaction （93.0% and 71.9% respectively）, perinatal breastfeeding, reasonable diet, post-natal training,touching and swimming. Conclusion The clinical care path is a scientific nursing management mode with strong feasibility in clinical medical treatment and should be put into use popularly
出处
《国际医药卫生导报》
2011年第4期478-481,共4页
International Medicine and Health Guidance News
关键词
临床护理路径
健康教育
自然分娩
初产妇
Clinical care path Health education Natural childbirth Early pregnancy
