医学信息
醫學信息
의학신식
Medical Information
2015年
36期
31-31,32
,共2页
腰椎间盘突出症%临床路径%变异分析
腰椎間盤突齣癥%臨床路徑%變異分析
요추간반돌출증%림상로경%변이분석
Prolapse of lumbar intervertebral disc%Clinical pathway%Variation analysis
目的分析腰椎间盘突出症髓核摘除术临床路径中的变异因素，研究临床路径实施中存在的问题并提出改进措施。方法选取我院实施腰椎间盘突出症髓核摘除术临床路径患者165例，了解其中变异发生情况并探讨其影响因素。结果本组发生变异例36例，变异发生率为21.8豫；其中正性变异占56豫，负性变异44豫；与医院系统相关的变异占19豫，与疾病转归相关的变异占25豫，与医务人员相关的变异占19豫，与患者、家属相关的变异占28豫；可控变异占64豫，不可控变异占36豫。结论通过对临床路径变异情况的分析，有利于医疗质量持续改进。
目的分析腰椎間盤突齣癥髓覈摘除術臨床路徑中的變異因素，研究臨床路徑實施中存在的問題併提齣改進措施。方法選取我院實施腰椎間盤突齣癥髓覈摘除術臨床路徑患者165例，瞭解其中變異髮生情況併探討其影響因素。結果本組髮生變異例36例，變異髮生率為21.8豫；其中正性變異佔56豫，負性變異44豫；與醫院繫統相關的變異佔19豫，與疾病轉歸相關的變異佔25豫，與醫務人員相關的變異佔19豫，與患者、傢屬相關的變異佔28豫；可控變異佔64豫，不可控變異佔36豫。結論通過對臨床路徑變異情況的分析，有利于醫療質量持續改進。
목적분석요추간반돌출증수핵적제술림상로경중적변이인소，연구림상로경실시중존재적문제병제출개진조시。방법선취아원실시요추간반돌출증수핵적제술림상로경환자165례，료해기중변이발생정황병탐토기영향인소。결과본조발생변이례36례，변이발생솔위21.8예；기중정성변이점56예，부성변이44예；여의원계통상관적변이점19예，여질병전귀상관적변이점25예，여의무인원상관적변이점19예，여환자、가속상관적변이점28예；가공변이점64예，불가공변이점36예。결론통과대림상로경변이정황적분석，유리우의료질량지속개진。
Objective To analyze variation of clinical pathway in the operation of lumbar disc herniation patients and to explore existing problems and put forward improvement.Methods Select 165 patients undergoing the operation of lumbar disc herniation of clinical pathway in the hospital,record the variations and its influencing factors.Results 36 patients were with variations in the study.The incidence of positive variation were 21.8%.The incidence of positive variation and negative variation were 56%and 44%respectively;19%of the variations were related with hospital system,25%with disease outcome,19%with medical staf ,28%with demand of patient.58%of the variations were control able variation.42%were uncontrol able ones.Conclusion The results shows that analysis variation of clinical pathway in the operation of lumbar disc herniation patients are beneficial for medical quality improvement.
