Effect analysis of clinical pathway model in nursing management of breast surgery
临床路径模式在乳腺外科护理管理中的应用效果分析

摘要

目的：对乳腺外科护理管理中临床路径模式的应用效果进行研究，以期能够为乳腺外科护理人员开展工作提供些许参考。方法：本次实验抽取本院2019年1月~2019年12月期间就诊的乳腺外科患者共计96例，通过抽签将所选患者分为甲组及乙组，两组患者人数相同，均为48人。在实验过程中，护理人员对甲组患者实施常规护理，对乙组患者实施临床路径模式护理，统计和记录两组患者护理满意情况、所需费用及出院时间。结果：研究结果显示，相比甲组患者，乙组患者护理满意度较高，甲组患者护理满意度为85.42%，乙组患者护理满意度为97.92%，两组患者之间差异较为突出，存在统计学意义（p＜0.05）；相比甲组患者，乙组患者所需费用较低，甲组患者所需费用为（9767.61±1134.81）元，乙组患者所需费用为（7617.28±1037.26）元，两组患者之间差异较为突出，存在统计学意义（p＜0.05）；相比甲组患者，乙组患者出院时间较短，甲组患者出院时间为（9.9±1.1）天，乙组患者出院时间为（6.4±1.9）天，两组患者之间差异较为突出，存在统计学意义（p＜0.05）。结论：在乳腺外科护理管理中临床路径模式有着较好的效果，其能够在一定程度上促进患者护理满意度的提升，减轻患者家庭经济负担，缩短患者出院时间，具有一定的现实意义。

Abstract

Objective: To study the application effect of clinical pathway model in nursing management of breast surgery, in order to provide some reference for the nursing staff of breast surgery.
Methods: A total of 96 breast surgery patients who were treated in our hospital from January 2019 to December 2019 were selected in this experiment. The selected patients were divided into group A and group B by lottery. The number of patients in both groups was the same, both were 48 people. In the course of the experiment, the nursing staff performed routine nursing care for patients in group A and clinical path mode nursing for patients in group B, and statistics and recorded the satisfaction of the two groups of patients, the costs required and the discharge time.
Results: The results of the study showed that compared with patients in group A, the satisfaction of patients in group B was higher. The satisfaction of patients in group A was 85.42%, and the satisfaction of patients in group B was 97.92%. There was statistical significance (p <0.05); compared with patients in group A, the cost of patients in group B was lower. The cost of patients in group A was (9767.61 ± 1134.81) yuan, and the cost of patients in group B was (7617.28 ± 1037.26) yuan. The difference between the two groups of patients is more prominent, there is statistical significance (p <0.05); compared with patients in group A, the discharge time of patients in group B is shorter, the discharge time of patients in group A is (9.9 ± 1.1) days, and the discharge time of the patients in the group B was (6.4 ± 1.9) days, and the difference between the two groups of patients was more prominent with statistical significance (p <0.05).
Conclusion  : The clinical pathway model in breast surgery nursing management has a good effect. It can promote the improvement of patient care satisfaction to a certain extent, reduce the family financial burden of patients, and shorten the discharge time of patients. It has certain practical significance.