CAJ | 학술논문

目的：评价和比较临床路径管理及传统医疗模式对精神分裂症住院患者治疗的疗效和效益。方法：将156例住院的精神分裂症患者随机分为研究组（84例，实行临床路径管理模式）和对照组（72例，实行传统治疗模式）；对两组疗效、住院时间、费用及患者与家属满意度进行比较。结果：研究组住院总费用及药费明显低于对照组（ t＝－2.17，t＝－2.78；P均﹤0.05）；检查费和护理费高于对照组（t＝3.91，t＝3.75；P均﹤0.05）；两组间疗效差异无统计学意义；研究组患者与家属满意度均高于对照组（χ2＝4.16，χ2＝4.45；P均﹤0.05）。结论：实施临床路径管理可以降患者低住院费用，提高满意度。
목적：평개화비교림상로경관리급전통의료모식대정신분렬증주원환자치료적료효화효익。방법：장156례주원적정신분렬증환자수궤분위연구조（84례，실행림상로경관리모식）화대조조（72례，실행전통치료모식）；대량조료효、주원시간、비용급환자여가속만의도진행비교。결과：연구조주원총비용급약비명현저우대조조（ t＝－2.17，t＝－2.78；P균﹤0.05）；검사비화호리비고우대조조（t＝3.91，t＝3.75；P균﹤0.05）；량조간료효차이무통계학의의；연구조환자여가속만의도균고우대조조（χ2＝4.16，χ2＝4.45；P균﹤0.05）。결론：실시림상로경관리가이강환자저주원비용，제고만의도。
Objective:To efaluate and compare the curatife effect and economic benefits of clinical pathway management and traditional medical model in hospitalized patients with schizophrenia. Method:A total 156 schizophrenic inpatients were randomly difided into study group(84 cases,treated with clinical path-way management model)and control group(72 cases,treated with traditional medical model ). The data of cur-atife effect,hospitalization expenses,length of hospital stay,and satisfaction of patients and their families in the two groups were compared. Results:The total hospitalization expenses and medicine expences in the study group were significantly less than those in the control group(t= -2. 17,t= -2. 78;all P﹤0. 05);the inspec-tion and nursing fee were significantly higher than those in control group(t=3. 91,t=3. 75;all P﹤0. 05). The curatife effect between the two groups had no significant difference. The satisfaction of the patients and their families in the study group were markedly higher than those in the control group(χ2 =4. 16,χ2 =4. 45;all P﹤0. 05). Conclusion:The model of clinical pathways management can decrease the hospitalization expenses and improfe satisfaction in schizophrenic inpatients.