摘要
目的：探讨标准化临床护理路径在重度子痫前期患者中的应用效果。方法：回顾性分析2014年1月-2016年3月我院确诊治疗的重度子痫前期患者100例,并随机等分为常规组和路径组,常规组患者给予常规护理干预;路径组患者给予标准化临床护理路径。采用阿氏评分法评估新生儿窒息情况,统计分析所有患者干预前后平均动脉压（MAP）、住院时间、住院费用、产妇及围生儿结局和护理满意程度情况。结果：路径组患者干预后MAP、住院费用明显低于常规组,住院时间短于常规组,差异有统计学意义（P〈0.05）;路径组患者剖宫产、HELLP综合征、产后出血、胎儿宫内窘迫、新生儿窒息发生率明显低于常规组（P〈0.05）;路径组患者护理满意率明显高于常规组（P〈0.05）。结论：标准化临床护理路径可有效控制重度子痫前期患者的血压,减少住院时间和费用,有利于改善产妇及围生儿结局,提高产妇的护理满意程度,值得临床进一步推广。
Objective： To explore the effect of standardized clinical nursing pathway in patients with severe preeclampsia. Methods： One hundred of patients with severe preeclampsia who were diagnosed and treated in our hospital from January 2014 to March 2016 were retrospectively analyzed and were randomly divided into routine group and path group. Conventional nursing intervention was given to the patients in routine group. Standardized clinical care was given to the patients in path group. The neonatal asphyxia was evaluated by using the Apgar scores. The mean arterial pressure（ MAP）,hospital stay,hospitalization costs,maternal and perinatal outcomes and nursing satisfaction were statistically analyzed before and after the intervention in all of the patients. Results： The MAP and hospitalization costs in the path group were significantly lower than that in the conventional group,and the time of hospitalization was shorter than that of the routine group. The differences were of statistical significance（ P〈0.05）. The cesarean section,HELLP syndrome,postpartum hemorrhage,fetal distress and the incidence of neonatal asphyxia in the path group were significantly lower than that of the routine group（ P〈0.05）. The nursing satisfaction rate of path group was significantly higher than that of the routine group（ P〈0.05）. Conclusion： The standardized clinical nursing pathway can effectively control the blood pressure of the patients with severe preeclampsia,reduce the hospitalization time and cost,improve maternal and perinatal outcome as well as the nursing satisfaction of the mothers. It is worthy to be further popularized in clinical practice.
出处
《护理实践与研究》
2016年第22期61-64,共4页
Nursing Practice and Research
关键词
标准化
临床护理路径
重度子痫前期
血压
Standardized
Clinical nursing pathway
Severe preeclampsia
Blood pressure
