泌尿外科专病循证护理路径绩效评价(1)
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[摘要] 目的 探讨泌尿外科实施专病循证护理路径的绩效。 方法 应用随机排列表法将200例泌尿外科手术患者(选择6个专病病种)分为观察组和对照组。观察组运用循证方法制定泌尿外科专病护理路径，并按照专病循证护理路径实施围术期护理；对照组则按护理常规实施围术期护理。比较两组的护理工作效率、工作质量、服务质量、经济效益及护士能力成长等指标的差异。 结果 观察组各指标均优于对照组，差异均有统计学意义(P < 0.05)。 结论 泌尿外科专病循证护理路径的制定是多种先进护理理念和模式的体现和有机结合，实施泌尿外科专病循证护理路径可显著提高护理服务的绩效。
[关键词] 泌尿外科；循证护理；护理路径；专病；绩效评价
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2012)04(a)-0140-02
Evaluation of performance of special disease evidence-based nursing pathway of urology
CHEN Xiang1 CAO Hulin1 ZHU Ning2
Department of Urology, Chinese Medicine Hospital of Gong'an County in Hubei Province, Gong'an 434300, China; 2.Nursing Department, Chinese Medicine Hospital of Gong'an County in Hubei Province, Gong'an 434300, China
[Abstract] Objective To investigate evaluation of performance of special disease evidence-based nursing pathway on urology. Methods Two hundred cases of urological surgery patients(six diseases) were randomly divided into observation group and control group by list of random row. The observation group used evidence-based approach to design special disease nursing pathway, and implemented perioperative nursing by special disease evidence-based nursing pathway; the control group implemented perioperative nursing according to conventional nursing. The nursing efficiency, quality of working, quality of nursing, cost-effective and the ability of nurses between the two groups were compared. Results All indicators of the observation group were better than those in the control group，differences were statistically significant ( P < 0.05). Conclusion The development of urology special disease evidence-based nursing pathway is reflect and combination of multiple advanced nursing concepts and nursing models, can improve the performance of nursing services.
[Key words] Urology; Evidence-based nursing; Nursing pathway; Special disease; Performance evaluation
现代护理强调护理的最终目的是为患者提供“高品质、高效率、低成本”的最佳护理服务，因此研究如何使护理绩效达到最大化是摆在广大护理工作者面前的一个重要课题。本研究旨在探讨实施泌尿外科专病循证护理路径的绩效，现报道如下：
1 资料与方法
1.1 一般资料
选取2010年9月～2011年10月入住本科的6个手术病种患者(微创经皮肾镜取石术、肾皮质切开取石术、输尿管镜碎石取石术、经尿道前列腺等离子电切术、腹腔镜肾囊肿切除术、腹腔镜肾癌根治术)共200例，其中，男115例，女85例；年龄16～71岁。应用随机排列表法将所有对象分为观察组和对照组 ......
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