摘要
[目的]观察整体观联合临床路径诊疗护理干预效果。[方法]使用前瞻性设计方法,按整体观联合临床路径治疗护理干预照临床路径医疗版、患者版开展诊疗护理,中药内服+足浴+穴位贴敷。连续干预14d为1疗程。观测临床症状、中医证候积分、综合疗效、患者满意度。连续干预1疗程(14d),判定效果。[结果]中医证候疗效:痊愈25例,显效15例,有效16例,无效4例,总有效率93.00%。中医症候积分:治疗前(36.97±6.40)分,治疗后(16.03±2.24)分,治疗前后比较(t=23.921,P=0.000<0.05)。综合疗效:有效52例,无效8例,总有效率87.00%。患者满意度评分≥80分58例,满意度97.00%。[结论]临床路径、整体化医疗模式运用于先兆流产的临床实践,既规范了先兆流产的的治疗,又增进医患沟通、护患沟通,提高患者满意度。
[Objective] To observe the whole Chinese medical theory and clinical pathway in disturbed fetal movement （threatened abortion） application. [Method] The use of forward looking design method. According to the clinical pathway of medical version, the version of the patients, to carry out nursing diagnosis and treatment, traditional Chinese medicine foot bath ＋ acupoint sticking. To evaluate the practicability and effectiveness of the clinical pathway of threatened abortion from the aspects of TCM syndrome curative effect, comprehensive curative effect, patient satisfaction and so on. [Result] The curative effect of TCM syndrome： 25 cases cured, 15 cases markedly effective, 16 cases effective, 4 cases ineffective, the total effective rate was 93.00%. TCM syndrome score： before treatment （36.97＋6.40） points, after treatment （16.03＋2.24） points, compared before and after treatment （t=23.921, P=0.000〈0.05）. Comprehensive efficacy： effective in 52 cases, ineffective in 8 cases, the total effective rate of 87%. Patient satisfaction： more than 80 points out of 58 cases, 97.00% satisfaction. [Conclusion] The clinical pathway and the holistic medical model are used in the clinical practice of threatened abortion, which not only regulate the treatment of threatened abortion, but also promote the communication between doctors and patients, improve the patient＇s satisfaction.
出处
《实用中医内科杂志》
2016年第12期36-39,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
海南省卫生厅科研基金(No:14A110059)~~
关键词
胎动不安
先兆流产
整体观
临床路径
中医证候积分
综合疗效
患者满意度
前瞻性研究
临床观察
integrated medical treatment of traditional Chinese medicine
clinical path
fetal irritability
threatened abortion
application
curative effect of Chinese medicine syndrome
comprehensive curative effect
patient satisfaction
prospective Study
