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目的:分析护理临床路径变异因素,采取有效的控制措施,为临床路径的实施提供保障。方法:在我院普外科、妇科、产科选取实施临床路径管理的六种疾病共141例病例做为观察对象,详细记录变异情况,并对变异进行分析及管理。结果:在导致临床路径变异的众多因素中,主要来自以下方面的影响:患者方面、患者和医生双方面、患者和护士双方面、患者医生护士三方面、医院方面。结论:通过对外科多种疾病护理临床路径变异因素的分析及管理,有利于护理质量的持续改进,并为科学制定护理临床路径提供依据。
Objective: To analyze the variation factors of nursing clinical path and to take effective control measures to ensure the implementation of clinical path. Methods: A total of 141 cases of six diseases in clinical practice were selected as the observation objects in general surgery, gynecology and obstetrics in our hospital. Variation was recorded in detail and the variation was analyzed and managed. Outcomes Among the many factors that led to the variability of clinical pathways were the impact on patients, both patients and doctors, both patients and nurses, patient doctors nurses, and hospitals. Conclusion: Through the analysis and management of variation factors of clinical pathways for various diseases of surgical treatment, it is conducive to the continuous improvement of nursing quality and provide the basis for scientifically setting the clinical path of nursing care.