临床路径在腰椎间盘突出症患者术后健康教育中应用.doc

临床路径在腰椎间盘突出症患者术后健康教育中应用[摘要] 目的：评价临床路径在腰椎间盘突出症术后健康教育中的应用价值。方法：通过制订临床路径模式，对腰椎间盘突出症术后患者进行健康教育，指导功能锻炼，将实施临床路径前后患者的住院天数、医疗费用、健康知识评分、满意度进行比较。结果：实施临床路径后，强化了健康教育的效果，加强了医患沟通，减少了患者住院天数和医疗费用，提高了健康知识掌握情况和满意度，并有效防止了疾病的复发。结论：临床路径作为一种新型医疗质量管理模式，值得在临床上推广应用。 [关键词] 临床路径；腰椎间盘突出症；评价 [中图分类号] R681.5+3[文献标识码]A [文章编号]1673-7210（2009）06（b）-017-03 Application of clinical pathway in the health education of postoperative patients with lubar intervertebral disc protrusion LI Xiaohui, LI Jiuqun, CAO Lianghui, XIAO Yingui, YAN Ruilian (Department of Osteology, Peking University Shenzhen Hospital, Shenzhen 518036, China) [Abstract] Objective: To evaluate the application of clinical pathway in the health education in postoperative patients with lubar intervertebral disc protrusion. Methods: Clinical pathway in the health education in postoperative of lubar intervertebral discprotrusion was executed and functional exercise was guided, the hospital residence, medical cost, health knowledge score and satisfactory rate were compared before and after the implement of clinical pathway. Results: After applying the clinical pathway, the effectiveness of health education was enhanced, the communication between the doctors and patients was improved, the hospital residence day and medical cost were decreased and the health knowledge and satisfactory rate of the patients were enhanced, the rate of disease relapse was also decreased. Conclusion: Clinical pathway is worth being applied in clinic as a kind of new medical quality management tool. [Key words] Clinical pathway; Lubar intervertebral disc protrusion; Evaluation 随着社会的发展，人们对医疗及护理服务质量的要求越来越高。健康教育是指通过信息传播及行为干预，帮助个人和群体掌握卫生保健知识，树立健康观念，自愿采纳有利于健康的行为和生活方式的系统教育活动[1]，其已在临床上广泛应用，但没有一种公认的有效可行的健康教育模式。住院患者的健康教育是以医院为基地，以患者及家属为对象，通过医护人员有计划、有目的的教育过程，使患者增进健康知识，改变不健康的行为和问题，使其行为向有利于健康的方向发展[2]。护士是住院患者健康教育的主要实施者，由于护士缺编现象普遍，加之临床护理工作任务繁重，住院患者的健康教育常常流于形式，效果不理想。临床路径是指医院里的一组人员，包括管理决策者、医师、护理人员及其他医疗有关人员，共同针对某一病种的监测、治疗、康复和护理所制订的一个有严格工作顺序、有准确时间要求的照顾计划，以减少康复的延迟