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Study On Clinical Pathway Apply On The Patient Operated As Panhysterectomy Caused Uterus Myoma

Posted on:2006-02-08Degree:MasterType:Thesis
Country:ChinaCandidate:M H WenFull Text:PDF
GTID:2144360152998073Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Objective: How to make the patient enjoys the superior quality of the medical treatment nursing service by the cheap expenses, satisfy" take patient as the center" of request and high quantity serve efficiently, have become an important topic of the health profession. The governor must consider how to let the patient reasonable to use" the medical treatment expenses" with maximum limit throught the medical treatment service process. Aim at the some disease grows to adopt with surgical operation , the clinical pathway is a valid path to get the purposes of improving the serve for patient and making use of the health resources effectively.The clinical pathway had been gotten the research and been managed in the nursing in the United States after 80' s in 20 centuries, being a means to shorten the the day of staying in the hospital. At present it has already be expansively applicated at western and flourishing nation, but it is be placed in just a start stage in our country. This topic passes to establish the clinical pathway and clinical projects for the hospitalizations of patient who has been operated the complete hysterectomy cause of uterus myoma, and search the safety and possibilities of it, and to carry on the result evaluation of the clinical pathway. Aim at providing a science , viable basis for promotting the clinical pathway to be used expansively in other gynecology surgical operations and non-surgical operation person.Methods: Study to is divided into the four parts totally. The first part has taken a forwerd view of the treatment circumstance of the uterus myoma from the modern medical science and the traditional Chinese Medicine, pointing out that the surgical operation is still the main method to cure the uterus myoma currently.The second part discusses the draftting process of the clinical pathway for the patient during period of hospitalization of surgical operation of panhysterectomy. This research chooses the patient who beenoperated the panhysterectomy because uterus myoma as the research object, investigate assurance diagnosis and treatment the nursing item, make sure diagnosis and treatment the vital link of the process, from here design the clinical pathway for the patient during period of hospitalization of surgical operation of panhysterectomy. At the same time, we design the clinical documents related to the clinical pathway, including the flow chart, process in general use, instructions of hospitalization and perioperation, variation record etc. The third part has evaluated the result of the clinical pathway of the patient during period of hospitalization of surgical operation of panhysterectomy. This research aims to evaluate the result from the hospitalization expenses, the hospitalization stay. The fourth part discusses the research from the regulations, performances, the result analysis and the variation processing etc., pointing out the leading meaning and outlook in clinical.Results: Enter 38 patients of clinical pathway group, press the surgical operation method to is divided into abdominal panhysterectomy group and panhysterectomy by abdominoscope group;The non- clinical pathway group chooses to use the last year same period patient 34, press the surgical operation method to is divided into abdominal panhysterectomy group and panhysterectomy by abdominoscope group. The study result manifestates : Compare with the non- clinical pathway group, patients in the clinical pathway group had significantly shorter the hospitalization stay and lower expenses than the patients not in the pathway.Conclusion: The results suggest that clinical pathway the patient during period of hospitalization of surgical operation of panhysterectomy enable medical staff to fulfill intensive care, medical diagnosis and therapy in time, enable recourses to be used more efficiently, and help patients meet expected outcomes with a shorter hospital stay and in-hospital charges. The onset of the clinical pathway and protocol provided a blue print for patients care undergoing the operation. The care patients received can make patients get fast recovery and meet patients' satisfaction. At the same time, this research is explicit that the Chinese medicine medicine is rounding the applied result of the surgical operation period, on the foundation that the cultural heritage investigate . According to the diagnosis and treatment normal regulations ruled, the Chinese medicine and Chinese herbal medicine, have heen defined in patent...
Keywords/Search Tags:Clinical pathway, uterus myoma, panhysterectomy
PDF Full Text Request
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