CAJ | 학술논문

目的探讨临床路径对控制小儿轮状病毒肠炎患儿住院时间以及医疗费用的影响.方法将245例小儿轮状病毒肠炎患儿随机分为两组,109例实施临床路径的患儿作为观察组,与136例既往常规治疗患者作对照组比较.比较两组平均住院日、治愈率以及费用、药费和检查费用比例.结果观察组平均住院日、药费低于对照组,治愈率高于对照组(均P＜0.05),检查费用比例增加(P＜0.05).结论临床路径应用于小儿轮状病毒肠炎患儿能提高治愈率,减少住院时间,降低住院费用和药费,且能提高健康教育的效果和患者满意度.
목적 탐토림상로경대공제소인륜상병독장염환인주원시간이급의료비용적영향.방법 장245례소인륜상병독장염환인수궤분위량조,109례실시림상로경적환인작위관찰조,여136례기왕상규치료환자작대조조비교.비교량조평균주원일、치유솔이급비용、약비화검사비용비례.결과 관찰조평균주원일、약비저우대조조,치유솔고우대조조(균P＜0.05),검사비용비례증가(P＜0.05).결론 림상로경응용우소인륜상병독장염환인능제고치유솔,감소주원시간,강저주원비용화약비,차능제고건강교육적효과화환자만의도.
Objective To explore the influence of the clinical pathway to control on hospital stay and medical expenses of pediatric rotavirus enteritis.Methods 245 infants with IRE were randomly assigned into two groups,109 in research group,136 in control group.All were treated with conventional therapy,for research group with clinical pathway.136 patients with previous medical routine therapy patients in the control group were compared.Compared two sets of average day in hospital,cure rate and cost,expenses for medicine and checking expenses proportion.Results The results shwed that the observation group of children's average hospital stay was lower than the control group,the cure rate higher than that in the control group,each time of total cost,expenses for medicine,each day medicine reducing( P ＜ 0.05 ).Checking expenses proportion was increased ( P ＜ 0.05),as to therapeutic effect,there was significant difference between two groups( P ＜ 0.05 ).Both expenses of drug ratio and ratio of the average daily expenses of drug are reduced.Conclusion Clinical pathway is applied in pediatric rotavirus enteritis can improve recovery rate,reduce hospitalization time and lower hospitalization fees and expenses,charges,medicine and inspection charge proportion.And can improve health education effect and patient satisfaction.