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The CNP Research of Fetal Irritability by Integration of TCM and Western Medicine

Author: LiuYuLing
Tutor: MuXin
School: Heilongjiang University of Traditional Chinese Medicine
Course: Nursing
Keywords: Fetal irritability Integration of TCM and Western Medicine Clinical Nursing Pathway Nursing
CLC: R473.71
Type: Master's thesis
Year: 2011
Downloads: 56
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Abstract


Objective:Develop appropriate fetal movement disturbed the patient’s clinical care in the Western path to regulate the care and behavior, to reduce nursing errors, improve clinical quality of care; reduce the symptoms of anxiety and depression in patients and improve the success rate of miscarriage and patient satisfaction; to create a Chinese characteristics and conditions in line with my policy of reform and development and new health care model to provide a scientific reference.Methods:This study used a quasi-experimental design, research process in two stages. The first stage is using the data analysis, evidence and expert consultation, design and creation of disturbed fetal movement path of Integrated Traditional and Western forms and the implementation of clinical care processes. The second phase of convenience sampling method, in May 2010-2011 selected in February of Heilongjiang University of Chinese Medicine, First Affiliated Hospital inpatient gynecology ward of 120 cases of fetal movement disturbed patients as research subjects,120 patients were randomly divided into test group and control group,60 patients in each group. The implementation of the control group routine gynecological care model, the experimental group laid down in advance in accordance with Chinese and Western forms of clinical care path (nursing staff and patients edition version) on the patients care. Choose length of stay, hospital costs, self-care ability, anxiety scores, depression scores, length of stay of patients in clinical nursing job satisfaction, clinical evaluation of seven indicators as a tool to test all of the data input SPSS17.0 software analysis, the use of frequency distribution, mean, standard deviation, descriptive statistical methods, as well as t test, rank sum test, Krusal-wallis H test, ANOVA and other inferential statistical methods for data processing.Results:1. To develop a fetal irritability of Traditional Chinese Medicine and implementation of nursing process forms the path, the path version of the table, including nurses and patient version; 2. Analysis of clinical effect2.1 Test the first two groups of patients with anxiety, depression and self-care ability score difference was not statistically significant (P> 0.05); anxiety scores were concentrated in 60-69 minutes, in the middle level; depression index were concentrated in the 0.6-0.69, in the middle level; self-care level to lower-middle-based;2.2 Two groups of patients before the test anxiety and depression scores compared with the national norm difference was statistically significant (P <0.01), scores were significantly higher than the norm value;2.3 Test the two groups were anxiety, depression scores significantly lower than before the test, there was significant difference between their own (P <0.01); test anxiety score of two groups are concentrated in 50-59 minutes, to no anxiety and mild anxiety based; depression between the index are concentrated in the 0.5-0.59, with no depression and minor depression based; tests of anxiety and depression scores were lower than the control group there was significant difference between the (P<0.05);2.4 Tests the two groups of patients were improved self-care ability, at the higher level; the experimental group scored higher, the difference between the two groups was statistically significant (P<0.01);2.5 Test anxiety in both groups scored higher than the norm values (P <0.01); depression score of the control group was still higher than normal value (P<0.01), and the norm value of the test group did not differ (P> 0.05);2.6 Clinical trial group patients scored higher in satisfaction with care, the difference between the two groups was statistically significant (P<0.01);2.7 Test group of patients with length of stay, hospital costs were lower than the control group, the difference between the two groups was statistically significant (P<0.01);2.8 The clinical trial was 90% effective,85% of the control group between the two was no significant difference (P> 0.05); 2.9 Anxiety, depression, patient satisfaction, self-care ability scores on the clinical efficacy of single-factor analysis, the difference was significant (P <0.05); hospital stay and hospital expenses, there was no statistical significance (P> 0.05);Conclusions:The development of the fetal movement disturbed the patient-’s clinical care in the Western path, with the hospital compared to usual care model, combined with clinical care in the Western path model can effectiv-ely improve patient care and job satisfaction, reduce anxiety, depression and poor Emotions, and strengthen self-care capacity, reduce health care costs and help increase the success rate of miscarriage.

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