CAJ | 학술논문

目的探讨临床路径(clinical pathway,CP)在食管癌患者围手术期护理中的应用效果.方法将100例食管癌患者随机分为对照组和观察组各50例,对照组使用传统的护理模式,观察组实施CP进行护理,比较两组患者的术后禁食天数、住院时间、平均住院费用、疾病的知识测试成绩(分)及患者对护理质量满意度(例).结果观察组患者的术后禁食日、平均住院天数、平均住院费用以及疾病知识的掌握情况明显优于对照组,观察组患者护理质量满意度显著高于对照组.结论临床路径增强了医护人员之间的信息交流和传递,减少了中间环节,降低了医疗成本,节约了医疗资源,提高了医疗护理质量和工作效率,是一种为食管癌患者提供高品质、高效率、低成本的医疗护理服务模式,值得在临床上推广应用.
목적 탐토림상로경(clinical pathway,CP)재식관암환자위수술기호리중적응용효과.방법 장100례식관암환자수궤분위대조조화관찰조각50례,대조조사용전통적호리모식,관찰조실시CP진행호리,비교량조환자적술후금식천수、주원시간、평균주원비용、질병적지식측시성적(분)급환자대호리질량만의도(례).결과 관찰조환자적술후금식일、평균주원천수、평균주원비용이급질병지식적장악정황명현우우대조조,관찰조환자호리질량만의도현저고우대조조.결론 림상로경증강료의호인원지간적신식교류화전체,감소료중간배절,강저료의료성본,절약료의료자원,제고료의료호리질량화공작효솔,시일충위식관암환자제공고품질、고효솔、저성본적의료호리복무모식,치득재림상상추엄응용.
Objective To investigate the application efect of the clinical pathway (CP) in the perioperative care of oesophagus cancer patients. Methods A total of100 oesophagus cancer patients were divided into observation group (n=50) and control group (n=50) randomly. The patients in observation group received the CP nursing and those in control group received routine nursing. Postoperative fasting days, average hospitalization days, average hospitalization expense, the test of related disease knowledge and patient satisfaction were compared between two groups. Results The observation group was significantly better than control group in all aspects. Conclusions The CP mode strengthens the communication among the health care workers, reduces the middle tache, lowers the medical costs, saves the medical resource, improves the medical care quantity and working effect , it's a medical care srvice mode which can provide higher quality, higher efficiency and lower costs for oesophagus cancer patients, and it is worth popularizing in clinical practice.