中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
13期
1521-1523
,共3页
骨关节炎,膝%胫骨平台骨折%股骨颈骨折%临床路径
骨關節炎,膝%脛骨平檯骨摺%股骨頸骨摺%臨床路徑
골관절염,슬%경골평태골절%고골경골절%림상로경
Severe knee osteoarthritis%Tibial plateau fracture%Femoral neck fractures%Clinical pathway
目的 探讨临床路径在骨关节外科试点病房对重度膝关节骨性关节炎、胫骨平台骨折、股骨颈骨折3个病种实施的效果评价.方法 通过制定符合骨关节外科试点病房重度膝关节骨性关节炎、胫骨平台骨折、股骨颈骨折3个病种的临床路径,并将实施临床路径前后患者的住院天数、医疗费用、健康教育掌握情况、满意度进行比较.结果 实施临床路径后患者的住院天数明显缩短、医疗费用降低、对健康教育掌握情况及满意度均有较大提高,差异有统计学意义(P<0.05).结论 临床路径在目前是最科学、最规范、最先进、最具有可操作性的诊疗服务模式,同时也体现了医疗管理的最终目的 是患者满意这一宗旨.
目的 探討臨床路徑在骨關節外科試點病房對重度膝關節骨性關節炎、脛骨平檯骨摺、股骨頸骨摺3箇病種實施的效果評價.方法 通過製定符閤骨關節外科試點病房重度膝關節骨性關節炎、脛骨平檯骨摺、股骨頸骨摺3箇病種的臨床路徑,併將實施臨床路徑前後患者的住院天數、醫療費用、健康教育掌握情況、滿意度進行比較.結果 實施臨床路徑後患者的住院天數明顯縮短、醫療費用降低、對健康教育掌握情況及滿意度均有較大提高,差異有統計學意義(P<0.05).結論 臨床路徑在目前是最科學、最規範、最先進、最具有可操作性的診療服務模式,同時也體現瞭醫療管理的最終目的 是患者滿意這一宗旨.
목적 탐토림상로경재골관절외과시점병방대중도슬관절골성관절염、경골평태골절、고골경골절3개병충실시적효과평개.방법 통과제정부합골관절외과시점병방중도슬관절골성관절염、경골평태골절、고골경골절3개병충적림상로경,병장실시림상로경전후환자적주원천수、의료비용、건강교육장악정황、만의도진행비교.결과 실시림상로경후환자적주원천수명현축단、의료비용강저、대건강교육장악정황급만의도균유교대제고,차이유통계학의의(P<0.05).결론 림상로경재목전시최과학、최규범、최선진、최구유가조작성적진료복무모식,동시야체현료의료관리적최종목적 시환자만의저일종지.
Objective To investigate the application effect of clinical pathway on severe knee osteoarthritis (OA), tibial plateau fractures, femoral neck fracture in bone and joint surgery pilot wards. Methods The clinical pathway consistent with the criteria for severe knee OA, tibial plateau fractures, femoral neck fracture in the bone and joint surgery pilot wards was established. Hospital stay, medical costs, master level of health education and satisfaction for the patients before and after applying the clinical pathway were compared. Results Hospital stay was obviously shortened, medical costs decreased, master level of health education and satisfaction greatly improved after application of the clinical pathway(P <0. 05 ). Conclusions The clinical pathway at present is the most scientific,most standardized, most advanced and operable clinic service model, but also embodies the ultimate goal of medical management-patient satisfaction.