CAJ | 학술논문

目的：探讨临床路径在急腹症接诊分诊中的应用。方法：2012年5月-2013年5月收治急腹症患者80例，基于患者临床资料的分析，随机将其划分为对照组与观察组，各40例，其中对照组在接诊分诊时采取传统法，观察组在接诊分诊时采取临床路径，对两组患者满意度、不同时间确诊率与并发症发生率进行对比分析。结果：对照组并发症发生率37.5%，观察组并发症发生率5.0%；对照组满意度62.5%，观察组满意度87.5%，两组差异具有统计学意义， P＜0.05。结论：在急腹症接诊分诊中应用临床路径，不仅可为患者获得及时的抢救时间，同时在很大程度上还可有效降低各种并发症发生率，确保患者的安全，提升患者满意度，加快患者的康复，在临床中具有一定的推广价值以及应用价值。
목적：탐토림상로경재급복증접진분진중적응용。방법：2012년5월-2013년5월수치급복증환자80례，기우환자림상자료적분석，수궤장기화분위대조조여관찰조，각40례，기중대조조재접진분진시채취전통법，관찰조재접진분진시채취림상로경，대량조환자만의도、불동시간학진솔여병발증발생솔진행대비분석。결과：대조조병발증발생솔37.5%，관찰조병발증발생솔5.0%；대조조만의도62.5%，관찰조만의도87.5%，량조차이구유통계학의의， P＜0.05。결론：재급복증접진분진중응용림상로경，불부가위환자획득급시적창구시간，동시재흔대정도상환가유효강저각충병발증발생솔，학보환자적안전，제승환자만의도，가쾌환자적강복，재림상중구유일정적추엄개치이급응용개치。
Objective:To explore the application of clinical pathway in admissions and triage of patients with acute abdomen. Methods:80 patients with acute abdomen were selected from May 2012 to May 2013,and we analyzed their clinical data,all of those patients were randomly divided into the control group and the observation group with 40 cases in each.Patients in the control group were given traditional method in the admissions and triage,while in the observation group,clinical pathway were taken in the admissions and triage,then we compared the patient satisfaction,diagnosis rate in different time and the complication occurrence in two groups.Results:The complication rate of the control group was 37.5% ,while the observation group was 5% ;patients satisfaction of the control group was 62.5%,while the observation group was 87.5%,the differences was statistically significant between two groups,P<0.05.Conclusion:Clinical pathway applied in admissions and triage of patients with acute abdomen can provide timely rescue time for patients,and also can reduce the incidence of various complications effectively and largely,in addation,it can ensure patient safety,improve patient satisfaction,and speed up the rehabilitation of patients,so it is worthy of clinical promotion and application.