CAJ | 학술논문

目的：评价毛细支气管炎临床路径的实施效果。方法选取开展临床路径管理前后的毛细支气管炎住院患儿，对比分析住院日、住院总费用、家属满意度、治愈率、出院后1周再入院率、院内感染率的差异，以及临床路径管理变异情况。结果共204例患儿符合入选标准，临床路径研究组96例，对照组108例。两组性别，年龄，入院时呼吸、心率、体温、鼻咽分泌物中呼吸道合胞病毒检出率及痰培养检出率的差异均无统计学意义(P>0.05)；经临床路径管理后患儿的药物总费用、抗生素费用及平均住院天数均较管理前下降，差异有统计学意义(P均<0.05)，而患儿家属满意度、治愈率、出院后1周再入院率及院内感染发生率等，在临床路径管理前后的差异无统计学意义(P均>0.05)。96例研究组入径患儿中，完成49例(51.04%)，正性变异43例(44.79%)，负性变异4例(4.17%)，退出2例(2.08%)。结论临床路径管理应用于婴幼儿毛细支气管炎，能有效控制和降低医药费用，同时医疗质量及患者满意度得到保障。
목적：평개모세지기관염림상로경적실시효과。방법선취개전림상로경관리전후적모세지기관염주원환인，대비분석주원일、주원총비용、가속만의도、치유솔、출원후1주재입원솔、원내감염솔적차이，이급림상로경관리변이정황。결과공204례환인부합입선표준，림상로경연구조96례，대조조108례。량조성별，년령，입원시호흡、심솔、체온、비인분비물중호흡도합포병독검출솔급담배양검출솔적차이균무통계학의의(P>0.05)；경림상로경관리후환인적약물총비용、항생소비용급평균주원천수균교관리전하강，차이유통계학의의(P균<0.05)，이환인가속만의도、치유솔、출원후1주재입원솔급원내감염발생솔등，재림상로경관리전후적차이무통계학의의(P균>0.05)。96례연구조입경환인중，완성49례(51.04%)，정성변이43례(44.79%)，부성변이4례(4.17%)，퇴출2례(2.08%)。결론림상로경관리응용우영유인모세지기관염，능유효공제화강저의약비용，동시의료질량급환자만의도득도보장。
Objective To evaluate the effect of clinical pathway management on pediatric capillary bronchitis. Methods Infants with capillary bronchitis admitted to our hospital were selected. Several indices were compared between the infants with and without clinical pathway management including hospital stay, costs of hospitalization, satisfaction in parents of children, cure rate, readmission rate one week after discharge, hospital infection and variation in the process of clinical pathway manage-ment. Results A total of 204 eligible infants were divided into research group (n=96) and control group (n=108). There were no signiifcant differences in sex, age, respiratory rate, heart rate and temperature, and detection rate of respiratory syncytial virus in nasopharyngeal secretion and sputum culture (P>0.05). Compared with the infants in control group, the total drug costs, the an-tibiotics costs and the average length of stay were signiifcantly decreased in infants with clinical pathway management (P<0.05). There were no signiifcant differences in such indices as satisfaction in parents of children, cure rate, readmission rate one week after discharge and hospital infection rate between two groups (P>0.05). In research group, 49 infants (51.04%) completed the clinical pathway management. Positive variance was found in 43 infants (44.79%) and negative variance in 4 infants (4.17%). Two infants (2.08%) dropped out. Conclusions For capillary bronchitis in infants, clinical pathway management has an effect on controlling and reducing the medical expenses, and meanwhile improving the medical quality and satisfaction of patients.