Application of Clinical Nursing Pathway in Patients Undergoing Laparoscopic Cholecystectomy

Objective:To study Clinical Nursing Pathway(acronym CNP)with existing nursing mode.in laparoscopic cholecystectomy patients,with the purpose to improve the quality of care.,to lower costs and reduce the number of hospitalization days.Method:The number of 120 patients was randomly divided into two groups according to the random number table.The experimental group implemented the CNP mode according to formulated CNP and the control group implemented the existing nursing mode.By evaluated the indicators about the hospitalization days,the number of days pending further surgery and hospitalization costs,patients with the restoration of self-care ability,knowledge of health,satisfaction,to observe this new model of care that affected on quality of care,hospitalization days and cost for hospitalized patients.The implementation of clinical nursing pathway included four stages:1) Preparation stage: including the establishment of the Expert Group,the choice of departments and type of illness,education and training.2) Formulation stage of the CNP:To formulate the CNP for nurses as well as two-dimensional language version of the CNP for patients by related data collection,evidence-based,expert advice.3) Implementation stage of the CNP: nurses Analysis of the past in experimental group according to the formulated CNP implemented health care process.In this process variance must be recorded which was analyzed and discussed timely by Expert Group.4) Monitoring and evaluation stage to improve the CNP:The CNP based on the actual situation in hospitals should revised continuously according to related disease research progress at home and abroad.Result:The CNP for nurses as well as two-dimensional language version of the CNP for patients was formulated by expert group through evidence-based,the relevant data collection.Experimental group in patients about the number of hospitalization days, the number of days pending further surgery and hospitalization costs were significantly lower(P＜0.01) than control group under the same premise of baseline socio-demographic characteristics between two groups.The restoration of self-care ability,knowledge of health and satisfaction before discharge in experimental group were significantly better than the control group(P＜0.05).Conclusion:1) The results show that nurses in advance of the anticipated care under the implementation of CNP form,can improve care initiative by reasonable arrange working hours for care.2) Patients can predict their hospital care goals,and actively take part in care which could enhance the patient's self-care ability.The recovery time in surgery patients of experimental group was earlier than the control group.3) In the study, with innovation and application of the CNP for nurses as well as two-dimensional language version of the CNP for patients which help patients understand the care objectives and schedule,so that different ethnic patients could improve the knowledge level of health as well as they were protected power for medical treatment.The closed nurse-patient relationship were formed so that it was help for improving the quality of care.4) By optimizing the care process so that they could deploy a reasonable health care resources,cost savings,and ultimately to achieve its objectives of controlling medical costs and reducing the number of hospitalization days.