临床护理路径在梅毒剖宫产术中的应用分析.docVIP

精品论文 参考文献 临床护理路径在梅毒剖宫产术中的应用分析 刘尚珍1 甘秀萍2(1成都市传染病医院 610061; 2 成都市传染病医院 610061) 【摘要】目的 将临床护理路径应用于妊娠合并梅毒行剖宫产术病人，以达到减轻患者焦虑抑郁和提高护理满意度的目的。方法 把128例妊娠合并梅毒并行剖宫产术患者随机分为观察组及对照组各64例，对照组给予剖宫产常规护理；观察组除给予剖宫产常规护理外，并给以梅毒临床护理路径实施手册进行护理。用综合医院焦虑及抑郁量表（Hospital Anxiety and Depression Scale, HAD）观察并比较两组焦虑抑郁的水平、梅毒相关知识的掌握情况及对护理工作的满意度。结果 观察组的焦虑与抑郁评分分别为：干预前(13.39plusmn;2.07,13.98plusmn;2.12)，干预后(8.73plusmn;1.75,9.86plusmn;1.76)；对照组的焦虑与抑郁评分分别为：干预前(12.86plusmn;1.94,13.98plusmn;2.12)，干预后(10.97plusmn;1.89, 11.21plusmn;1.86)。两组的评分差异有统计学意义（P＜0.05），观察组的焦虑及抑郁HAD评分低于对照组。两组的护理工作的满意度评价也有统计学意义（P＜0.05），观察组高于对照组。结论 在妊娠合并梅毒行剖宫产术患者中实行临床护理路径能减轻患者的焦虑和抑郁，提高病人梅毒知识认知度和护理满意度。值得临床应用。 【关键词】临床护理路径 妊娠合并梅毒 剖宫产 焦虑和抑郁 护理满意度 【中图分类号】R471【文献标识码】A【文章编号】2095-1752（2012）32-0131-02 Analysis of clinical nursing pathway in the application for patients with syphilis merger cesarean section Liu Shang Zhen Gan Xiu Ping （Infectious Diseases Hospital of Chengdu，China，610061,Chengdu) 【Abstract】Objective Clinical nursing pathway was applied to pregnant women with syphilis cesarean section patients to reduce anxiety and improve the nursing satisfaction. Method 128 cases of pregnancy complicated with syphilis were randomly divided into observation group and control group ,64 cases were in each group, The control group was given a routine cesarean section nursing, however, The observation group were given syphilis clinical care path according to the implementation manual in addition to the routine cesarean section nursing. Hospital Anxiety and Depression Scale were used to observe and compare the level of anxiety and depression between the two groups. And the syphilis-related knowledge and the satisfaction of the patients were also be observed. Results The observation group of anxiety and depression scores were 13.39plusmn;2.07 and 13.98plusmn;2.12 before the intervention and 8.73plusmn;1.75 and 9.86plusmn;1.76 after the intervention respectively; and the scores of control group were 12.86