中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2012年
3期
165-168
,共4页
马辛%蔡焯基%郑毅%陈斌%王刚%周方%王传跃%王红星%陈建生%毛佩贤%胡丽丽%潘俊峰%崔永华
馬辛%蔡焯基%鄭毅%陳斌%王剛%週方%王傳躍%王紅星%陳建生%毛珮賢%鬍麗麗%潘俊峰%崔永華
마신%채작기%정의%진빈%왕강%주방%왕전약%왕홍성%진건생%모패현%호려려%반준봉%최영화
住院病人%精神分裂症%临床路径%病人医疗护理
住院病人%精神分裂癥%臨床路徑%病人醫療護理
주원병인%정신분렬증%림상로경%병인의료호리
Inpatients%Schizophrenia%Critical pathways%Patient care
目的 评价临床路径应用于住院精神分裂症患者的效果.方法 将2008年8月至2009年10月在首都医科大学附属北京安定医院新住院精神分裂症患者135例,依据Rihaid Doll随机分配卡法随机分为临床路径组(研究组,65例)和传统治疗组(对照组,70名),研究组采用临床路径医疗护理方法,对照组采用传统医疗护理方法；评价指标为疗效、平均住院天数、平均住院费用和满意度.结果 研究组的平均住院天数显著低于对照组[(41 ±13)d:(47±12) d;t=-2.555,P=0.012],住院总费用显著低于对照组[(9685.70±4213.75)元:(11 192.61±4118.50)元；t=-2.101,P=0.038];研究组痊愈率、显好率、好转率分别为16.9％、47.7％、35.4％,对照组分别为11.4％、30.0％、58.4％,2组比较差异有有统计学意义(x2=7.284,P =0.026)；患者满意度高于对照组( 100％:88.6％；x2=24.785,p=0.000).结论 临床路径应用于住院精神分裂症患者,可以明显缩短平均住院天数,降低住院费用,提高患者满意度.
目的 評價臨床路徑應用于住院精神分裂癥患者的效果.方法 將2008年8月至2009年10月在首都醫科大學附屬北京安定醫院新住院精神分裂癥患者135例,依據Rihaid Doll隨機分配卡法隨機分為臨床路徑組(研究組,65例)和傳統治療組(對照組,70名),研究組採用臨床路徑醫療護理方法,對照組採用傳統醫療護理方法；評價指標為療效、平均住院天數、平均住院費用和滿意度.結果 研究組的平均住院天數顯著低于對照組[(41 ±13)d:(47±12) d;t=-2.555,P=0.012],住院總費用顯著低于對照組[(9685.70±4213.75)元:(11 192.61±4118.50)元；t=-2.101,P=0.038];研究組痊愈率、顯好率、好轉率分彆為16.9％、47.7％、35.4％,對照組分彆為11.4％、30.0％、58.4％,2組比較差異有有統計學意義(x2=7.284,P =0.026)；患者滿意度高于對照組( 100％:88.6％；x2=24.785,p=0.000).結論 臨床路徑應用于住院精神分裂癥患者,可以明顯縮短平均住院天數,降低住院費用,提高患者滿意度.
목적 평개림상로경응용우주원정신분렬증환자적효과.방법 장2008년8월지2009년10월재수도의과대학부속북경안정의원신주원정신분렬증환자135례,의거Rihaid Doll수궤분배잡법수궤분위림상로경조(연구조,65례)화전통치료조(대조조,70명),연구조채용림상로경의료호리방법,대조조채용전통의료호리방법；평개지표위료효、평균주원천수、평균주원비용화만의도.결과 연구조적평균주원천수현저저우대조조[(41 ±13)d:(47±12) d;t=-2.555,P=0.012],주원총비용현저저우대조조[(9685.70±4213.75)원:(11 192.61±4118.50)원；t=-2.101,P=0.038];연구조전유솔、현호솔、호전솔분별위16.9％、47.7％、35.4％,대조조분별위11.4％、30.0％、58.4％,2조비교차이유유통계학의의(x2=7.284,P =0.026)；환자만의도고우대조조( 100％:88.6％；x2=24.785,p=0.000).결론 림상로경응용우주원정신분렬증환자,가이명현축단평균주원천수,강저주원비용,제고환자만의도.
Objective To evaluate the effect of the standardized integrative therapy clinical pathways (CP) on inpatients with schizophrenia.Methods A total of 135 inpatients with schizophrenia in Beijing Anding hospital from Aug.2008 to Oct.2009 were randomly assigned to the two groups,with 65 cases in the CP group and 70 in the control group.Clinical pathway medical and nursing methods were applied in CP group and traditional medical and nursing methods in control group. The clinical data of the hospitalization days,hospitalization charges,and satisfaction of the patients and so on between CP group and control group were compared.Results Comparing with the control group,the patients of CP group had shorter hospitalization days [( 41 ± 13 ) d vs. ( 47 ± 12 ) d; t =- 2.555,P =0.012],lower charges [(9685.70±4213.75) yuan vs.(11 192.61 ±4118.50)yuan; t=-2.101,P=0.038].The recovery rate,obvious improvement rate,and improvement rate in the CP group were 16.9％,47.7％,35.4％ and the ones in the control group were 11.4％,30.0％,58.4％ with significantly statistical differences ( x2 =7.284,P =0.026).The satisfaction rate was higher in the CP group than the control group (100％ vs.88.6％,x2 =24.785,P =0.000 ).Conclusion The method of clinical pathways could markedly decrease the average hospitalization days and the hospitalization charges,and improve satisfaction of the patients with schizophrenia in inpatient department.
