[1]李婧茹)△,牛扶幼).游离皮片移植术临床护理路径的影响因素[J].郑州大学学报(医学版),2012,(06):839.
 LI Jingru,NIU Fuyou.Influencing factors of clinical nursing pathway in patients undertaking freeskin grafting[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(06):839.
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游离皮片移植术临床护理路径的影响因素
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年06期
页码:
839
栏目:
应用研究
出版日期:
2012-11-20

文章信息/Info

Title:
Influencing factors of clinical nursing pathway in patients undertaking freeskin grafting
作者:
李婧茹1)牛扶幼2)
1)郑州大学西亚斯国际学院护理学院 郑州 451150
2)郑州大学第一附属医院整形外科 郑州 450052
Author(s):
LI Jingru1)NIU Fuyou2)
1)Nursing School,Sias International University,Zhengzhou University,Zhengzhou 451150
2)Department of Plastic Surgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
临床护理路径游离皮片移植术影响因素
Keywords:
clinical nursing pathwayfreeskin graftinginfluencing factor
分类号:
R473.6
摘要:
目的:分析游离皮片移植术临床护理路径(CNP)的影响因素,研究其存在的问题和改进的方法。方法:采用单因素分析及多元线性逐步回归分析法分析46例实施CNP的游离皮片移植术患者的病例资料,寻找与住院时间关系密切的各种因素。结果:结合单因素分析结果,多元线性回归分析显示影响住院时间的因素依次是术前住院时间、术后住院时间、植皮面积、文化程度和付费方式(P<0.05)。结论:缩短术前住院时间,根据患者的文化程度和付费方式等采取合适的护理和健康教育方式,细化CNP流程可以有效缩短在CNP模式下行游离皮片移植术患者的住院时间。
Abstract:
Aim:To explore factors which influence the clinical nursing pathway(CNP) in patients undertaking freeskin grafting and propose some evidences to improve it.Methods:Medical records of 46 inpatients who undertaking freeskin grafting in CNP model were collected,and singlefactor analysis and multivariate linear regression model were used to analyze the factors which might influence hospitalization time.Results:The results of singlefactor analysis and multivariate linear regression model showed that preoperative hospitalization time,postoperative hospitalization time,skin grafting area,cultural degree and payment pattern had influence on hospitalization time(P<0.05).Conclusion:To shorten preoperative hospitalization time,choose the appropriate care and health education mode according to the patients’ cultural degree and payment pattern,and detail CNP process can shorten hospitalization time of CNP in patients undertaking freeskin grafting effectively.

参考文献/References:

[1]刘林嶓,牛扶幼.美容外科护理学[M].北京:中国科学技术出版社,2005.

[2]吴袁剑云,英立平.临床路径实施手册[M].北京:北京医科大学出版社,2002.

[3]李明子.临床路径的基本概念及其应用[J].中华护理杂志,2010,45(1):59

[4]霍添琪,韩杰,靳峰,等.临床路径管理试点工作中患者变异与退出原因分析[J].中国医院,2011,15(2):8

[5]Kulkarni RP,Ituarte PH,Gunderson D,et al.Clinical pathways improve hospital resource use in endocrine surgery[J].J Am Coll Surg,2011,212(1):35

[6]朱士俊.临床路径在医疗质量实时控制中的应用研究[J].中华医院管理杂志,2003,19(10):594

[7]陶月玉,钱介荣,庄永忠,等.临床路径和病例分型在医疗保险费支付中的应用[J].解放军医院管理杂志,2003,10(6):523

[8]韩彩欣,曹志辉,高仕军,等.多元线性回归模型在临床路径研制中的应用[J].现代预防医学,2009,36(3):463

备注/Memo

备注/Memo:
△女,1985年3月生,硕士,助教,研究方向:外科护理,Email:jingru_pd@yahoo.com.cn
更新日期/Last Update: 2013-07-03