CAJ | 학술논문

目的探讨临床路径(CP)在妇科腹腔镜手术病人中实施的效果与可行性.方法回顾性调查收集2008年6-7月妇科腹腔镜治疗病人196例的资料,分析制定CP(医护版和病人指导版),由有关专家审查确认后用于临床;分别收集开展CP前1个月96例病人(对照组)和开展CP后100例病人(实验组)的资料,分析两组病人的住院天数和费用、病人满意度,并实施CP后变异因素的分析.结果实验组平均住院天数(6.47±2.53)d,对照组(8.38±2.01)d;住院费用实验组(9 080.62±139.12)元,对照组(9655.08±186.31)元,P均<0.05;路径变异因素主要与医护人员的主观认识和病人对疾病的认识有关.结论 CP能缩短住院天数、降低医疗费用、保证医疗护理质量、提高工作效率,更加受到护士的欢迎.
목적 탐토림상로경(CP)재부과복강경수술병인중실시적효과여가행성.방법 회고성조사수집2008년6-7월부과복강경치료병인196례적자료,분석제정CP(의호판화병인지도판),유유관전가심사학인후용우림상;분별수집개전CP전1개월96례병인(대조조)화개전CP후100례병인(실험조)적자료,분석량조병인적주원천수화비용、병인만의도,병실시CP후변이인소적분석.결과 실험조평균주원천수(6.47±2.53)d,대조조(8.38±2.01)d;주원비용실험조(9 080.62±139.12)원,대조조(9655.08±186.31)원,P균<0.05;로경변이인소주요여의호인원적주관인식화병인대질병적인식유관.결론 CP능축단주원천수、강저의료비용、보증의료호리질량、제고공작효솔,경가수도호사적환영.
Objective To explore the clinical pathway (CP) in gynecology laparoscopic surgery patients in the implementation effect and feasibility. Methods 200 patients with gynaeeological laparoscope operation were analyzed retrospectively from June to July 7 in 2008. The CP, and the relevant guidelines were applied to clinics after clinical experts' confirmation. 96 cases before CP (control group) and 100 cases after CP (experimental group ) were collected and analyzed including hospitalized days and expenses, patient satisfaction, and variation factors of implementing CP. Results The average of hospitalized days were (6.47± 2.53 ) d in experimental group and 8.38 ± 2.01 d in the control group. The hospitalization expenses were $ (9 080.62 ± 139.12 ) in experimental group and $ ( 9 655.08 ± 186.31 ) in the control group ( P < 0. 05 ). Variation factors of CP were mainly included medical personnel and patients with subjective understanding on the disease. Conclusions CP is helpful to reduce the hospitalized days, shorten the medical expenses, and ensure the quality of medical care, improve work efficiency, even were welcomed by the nurse.