临床路径在儿科疾病诊疗中的应用效果研究(1)
[摘要] 目的 探讨临床路径在儿科疾病诊疗中的应用效果。 方法 选取在本院儿科临床路径实施后进行治疗的67例患儿作为观察组，临床路径实施前进行治疗的67患儿作为照组，比较效果。 结果 观察组平均住院时间为7.63 d，平均住院费用为1 917.53元，对照组平均住院时间为13.32 d，平均住院费用为2 961.63元，观察组满意率明显高于对照组，基本满意比例和不满意比例明显低于对照组(P < 0.05)。 结论 在儿科疾病诊疗中应用临床路径，可明显缩短住院时间，降低住院费用，提高患儿家属满意度。
[关键词] 临床路径；儿科疾病；诊疗；效果
[中图分类号] R197.1 [文献标识码] A [文章编号] 1674-4721(2012)07(b)-0055-02
Effect research of clinical path in pediatric diseases diagnosis and treatment
XIAO Qijian
Department of Pediatrics, Maternal and Child Health Hospital of Luohu District of Shenzhen City in Guangdong Province, Shenzhen 518019, China
[Abstract] Objective To explore the effect of clinical path in a pediatric disease diagnosis and treatment. Methods In department of pediatrics of our hospital, 67 cases of children were treated after clinical pathway implementation were selected as the observation group, 67 cases of children were treated before clinical pathway implementation were selected as the control group, the effects of the two groups were compared. Results In the observation group, the hospitalization time was 7.63 d, hospitalization expenses was 1 917.53 yuan; in the control group, the hospitalization time was 13.32 d, hospitalization expenses was 2 961.63 yuan, satisfaction rates of the observation group were higher than that of the control group. The satisfaction of basic proportion and unsatisfied proportion was significantly lower than those of control group (P < 0.05). Conclusion The application of the clinical path in the pediatric diseases can significantly shorten the hospitalization time, reduce the cost of hospitalization, increase the satisfaction of the families of the children.
[Key words] Clinical pathway; Pediatric diseases; Diagnosis and treatment; Effect
20世纪80年代，临床路径首先在美国医疗机构的临床服务中应用，目的是控制保证医疗服务质量、控制医疗费用，体现了医疗服务“以病人为本”的原则，使医疗服务全面化、程序化，可规范医疗手段、缩短住院时间、降低医疗费用[1]。本文就在本院儿科治疗的134例患儿进行研究，现报道如下：
1 资料与方法
1.1 一般资料
选取本院儿科实施临床路径后进行治疗的67例患儿作为观察组，实施临床路径前进行治疗的67患儿作为对照组，观察组男36例，女31例，平均年龄(5.36±8.27)岁，其中，肺炎支原体肺炎41例，轮状病毒肠炎21例，母婴ABO血型不合溶血性病理性黄疸5例；对照组男34例，女33例，平均年龄(5.57±8.13)岁，其中，肺炎支原体肺炎42例，轮状病毒肠炎19例，母婴ABO血型不合溶血性病理性黄疸6例；两组患者在性别组成、年龄、疾病组成等方面无明显差异(P > 0.05)，具有可比性。
1.2 方法
针对各种疾病，分别制定临床路径文本，包括护理版、医疗版、患者版和变异分析表及患者满意度调查表。观察组应用临床路径：培训医疗人员，对患儿其家属进行关于临床路径的宣传教育，医疗人员严格按照临床路径的内容进行治疗，若有变异发生，则即时退出临床路径，做好变异分析表填写工作并进行分析。对照组应用传统的诊疗程序。观察记录住院时间和住院费用。所有患儿出院时均由家属填写患者满意度调查表。
1.3 统计学方法
采用SPSS 13.0进行统计学分析，计量资料和计数资料分别采用t检验和χ2检验，检验水准设定为0.05，当P <0.05时差异有统计学意义。, 百拇医药(萧旗坚)
[关键词] 临床路径；儿科疾病；诊疗；效果
[中图分类号] R197.1 [文献标识码] A [文章编号] 1674-4721(2012)07(b)-0055-02
Effect research of clinical path in pediatric diseases diagnosis and treatment
XIAO Qijian
Department of Pediatrics, Maternal and Child Health Hospital of Luohu District of Shenzhen City in Guangdong Province, Shenzhen 518019, China
[Abstract] Objective To explore the effect of clinical path in a pediatric disease diagnosis and treatment. Methods In department of pediatrics of our hospital, 67 cases of children were treated after clinical pathway implementation were selected as the observation group, 67 cases of children were treated before clinical pathway implementation were selected as the control group, the effects of the two groups were compared. Results In the observation group, the hospitalization time was 7.63 d, hospitalization expenses was 1 917.53 yuan; in the control group, the hospitalization time was 13.32 d, hospitalization expenses was 2 961.63 yuan, satisfaction rates of the observation group were higher than that of the control group. The satisfaction of basic proportion and unsatisfied proportion was significantly lower than those of control group (P < 0.05). Conclusion The application of the clinical path in the pediatric diseases can significantly shorten the hospitalization time, reduce the cost of hospitalization, increase the satisfaction of the families of the children.
[Key words] Clinical pathway; Pediatric diseases; Diagnosis and treatment; Effect
20世纪80年代，临床路径首先在美国医疗机构的临床服务中应用，目的是控制保证医疗服务质量、控制医疗费用，体现了医疗服务“以病人为本”的原则，使医疗服务全面化、程序化，可规范医疗手段、缩短住院时间、降低医疗费用[1]。本文就在本院儿科治疗的134例患儿进行研究，现报道如下：
1 资料与方法
1.1 一般资料
选取本院儿科实施临床路径后进行治疗的67例患儿作为观察组，实施临床路径前进行治疗的67患儿作为对照组，观察组男36例，女31例，平均年龄(5.36±8.27)岁，其中，肺炎支原体肺炎41例，轮状病毒肠炎21例，母婴ABO血型不合溶血性病理性黄疸5例；对照组男34例，女33例，平均年龄(5.57±8.13)岁，其中，肺炎支原体肺炎42例，轮状病毒肠炎19例，母婴ABO血型不合溶血性病理性黄疸6例；两组患者在性别组成、年龄、疾病组成等方面无明显差异(P > 0.05)，具有可比性。
1.2 方法
针对各种疾病，分别制定临床路径文本，包括护理版、医疗版、患者版和变异分析表及患者满意度调查表。观察组应用临床路径：培训医疗人员，对患儿其家属进行关于临床路径的宣传教育，医疗人员严格按照临床路径的内容进行治疗，若有变异发生，则即时退出临床路径，做好变异分析表填写工作并进行分析。对照组应用传统的诊疗程序。观察记录住院时间和住院费用。所有患儿出院时均由家属填写患者满意度调查表。
1.3 统计学方法
采用SPSS 13.0进行统计学分析，计量资料和计数资料分别采用t检验和χ2检验，检验水准设定为0.05，当P <0.05时差异有统计学意义。, 百拇医药(萧旗坚)