目的: 探讨延续性护理干预在子宫异常出血患者中的应用及支付方式。方法: 选择2019年1月—2022年1月60例子宫异常出血患者为对象,按支付方式不同分为单病种付费组与非单病种付费组,分别为36例、24例。两组患者均采用延续性护理干预,干预后评估两组效果,比较两组患者出血持续时间、出血量、住院时间、平均住院费用、药费、患者满意度和自我效能感及付费类型占比。结果: 单病种付费组出血持续时间、出血量、住院时间、平均住院费用、药费低于非单病种付费组;单病种付费组患者的满意度、自我效能感评分、医保报销比例高于非单病种付费组;单病种付费组支付方式中的自费占比率低于非单病种付费组。结论: 延续性护理干预可减少子宫异常出血患者的出血量、缩短住院时间,选用单病种付费方式有助于提高患者满意度、降低平均住院费用及主要药费,两者并施有助于子宫异常出血患者康复,并且能够提升医保报销比例,减轻家庭经济压力。

Objective: The paper explored the application, payment method of continuous nursing intervention in patients with abnormal uterine bleeding. Methods: 60patients with abnormal uterine bleeding from January2019to January2022were selected as subjects, were divided into single disease payment group, non-single disease payment group according to different payment methods, i.e.36cases, 24cases respectively. The two groups of patients were treated with continuous nursing intervention. After the intervention, the effects of the two groups were evaluated, the bleeding duration, bleeding volume, hospitalization time, average hospitalization expenses, drug expenses, patient satisfaction, self-efficacy, the proportion of payment methods were compared between the two groups. Results: Compared with the non-single disease payment group, the single disease payment group was lower in bleeding duration, bleeding volume, hospitalization time, average hospitalization expenses, drug expenses. Patient satisfaction, self-efficacy, medical insurance proportion of medical insurance reimbursement of the single disease payment group is higher than the non-single disease payment group, the self payment proportion is lower in the single disease payment group than the non single disease payment group. Conclusion: Continuous nursing intervention can reduce the bleeding volume in patients with abnormal uterine bleeding, shorten the length of hospital stay. Choosing a single disease payment method can help improve patient satisfaction, reduce the average hospitalization expenses, main drug costs. The combination of the two can help patients with abnormal uterine bleeding recover, can improve the proportion of medical insurance reimbursement, reduce family economic pressure