CAJ | 학술논문

目的通过比较常规Mammotome(麦默通)乳腺良性肿块切除活检术与电子版临床路径下Mammotome乳腺良性肿块切除活检术的差别,为临床路径下Mammotome乳腺良性肿块切除活检术提供依据.方法将2010年1月至2011年12月收治的160例乳腺良性肿块患者,随机分为常规Mammotome乳腺肿块切除活检术组(对照组,80例)与临床路径下Mammotome乳腺肿块切除活检术组(观察组,80例),对两组患者分别采用常规方法及临床路径进行护理,比较两组患者术前等待天数、住院天数、手术费用、检查依从性、健康知识掌握情况及术后并发症和护理服务满意度方面的差异.结果观察组患者术前等待天数为(1.25±0.33)d,住院总天数为(4.28±1.52)d,住院花费为(4758.48 ±686.34)元,明显少于对照组[ (2.44 ±0.65)d,(6.02±4.12)d,(4 998.76±778.32)]元均明显缩短,两组比较,差异具有统计学意义(f分别为7.48,9.86,3.46；P＜0.05).观察组患者在检查依从性(97.5％)、健康知识掌握程度(97.5％)及护理服务满意度(97.5％)方面均明显高于对照组(85.0％,82.5％,85.0％),两组比较,差异均有统计学意义(x2分别为7.83,10.00,7.83;P ＜0.05).结论电子版临床路径下Mammotome乳腺肿块切除活检术可以进一步提高患者的依从性及满意度,减少住院天数及住院花费,减少术后并发症.
목적 통과비교상규Mammotome(맥묵통)유선량성종괴절제활검술여전자판림상로경하Mammotome유선량성종괴절제활검술적차별,위림상로경하Mammotome유선량성종괴절제활검술제공의거.방법 장2010년1월지2011년12월수치적160례유선량성종괴환자,수궤분위상규Mammotome유선종괴절제활검술조(대조조,80례)여림상로경하Mammotome유선종괴절제활검술조(관찰조,80례),대량조환자분별채용상규방법급림상로경진행호리,비교량조환자술전등대천수、주원천수、수술비용、검사의종성、건강지식장악정황급술후병발증화호리복무만의도방면적차이.결과 관찰조환자술전등대천수위(1.25±0.33)d,주원총천수위(4.28±1.52)d,주원화비위(4758.48 ±686.34)원,명현소우대조조[ (2.44 ±0.65)d,(6.02±4.12)d,(4 998.76±778.32)]원균명현축단,량조비교,차이구유통계학의의(f분별위7.48,9.86,3.46；P＜0.05).관찰조환자재검사의종성(97.5％)、건강지식장악정도(97.5％)급호리복무만의도(97.5％)방면균명현고우대조조(85.0％,82.5％,85.0％),량조비교,차이균유통계학의의(x2분별위7.83,10.00,7.83;P ＜0.05).결론 전자판림상로경하Mammotome유선종괴절제활검술가이진일보제고환자적의종성급만의도,감소주원천수급주원화비,감소술후병발증.
Objective To compare the differences between conventional Mammotome biopsy of benign breast tumor and Mammotome biopsy under the electronic clinical pathway,in order to provide basis for Mammotome biopsy of benign breast tumor under clinical pathway.Methods 160 patients with benign breast tumor in affiliated Hospital of Binzhou Medical College from January 2010 to December 2011 were divided into the control group (80 patients treated with conventional Mammotome biopsy) and the observational group (80 patients treated with Mammotome biopsy under clinical pathway).Patients' waiting days before surgery,days in hospital,total cost,obedience,health knowledge,postoperative complications and satisfaction between two groups were compared.Results Days before surgery in the observational group were (1.25 ± 0.33),and days in hospital were (4.28 ± 1.52),both of which were shorter than those in the control group (2.44 ± 0.65),(6.02 ± 4.12).The differences were statistically significant (t =7.48,9.86,respectively ; P ＜ 0.05).Total cost in the observational group was (4 758.48 ± 686.34) yuan,fewer than that in the control group which was (4 998.76 ± 778.32) yuan,and the differences were statistically significant (t =3.46,P ＜ 0.05).Compared with the control group,the observational group had better obedience rate (97.5％ vs 85％),better mastering of health knowledge (97.5％ vs 82.5％),and higher satisfaction (97.5％ vs 85％).The differences were statistically significant (x2 =7.83,10.0,7.83,respectively ; P ＜ 0.05).Conclusions Mammotome biopsy under clinical pathway can further improve patients' obedience and satisfaction,reduce days in hospital,total cost and postoperative complications,thus should be promoted actively.