新型造口伤口治疗模式的成本效益分析  

Cost-benefits analysis of the new wound-stoma treatment model

作　　者：李卡[1] 杨婕[1] 张丽娜[1] 

机构地区：[1]四川大学华西医院胃肠外科,成都市610041

出　　处：《护理管理杂志》2010年第7期474-475,共2页Journal of Nursing Administration

摘　　要：目的探讨新型造口伤口治疗模式的成本效益。方法 2008年10月至2009年10月在我院诊断为进展期结、直肠肿瘤的640例病人,治疗组320例采用新型伤口造口治疗模式,对照组320例采用传统治疗模式,比较两组病人术后住院日、住院费用及进行伤口治疗所需的人力资源的差异。结果治疗组病人平均住院日较对照组缩短,住院费用和所需人力成本减少,差异均具有统计学意义(P<0.05);伤口感染率低于对照组(P<0.05)。结论新型造口伤口治疗模式有利于提高外科医疗资源利用效率,降低术后造口伤口治疗人力成本,并提高术后造口伤口管理质量,值得在临床推广。Objective To evaluate the new model of wound and stoma treatment and its influence to medical resources. Methods Six hundred and forty patients, who were diagnosed as advanced colorectal cancers from October 2008 to October 2009 ,were included and assigned to the treatment group （the new model of wound and stoma treatment） and the control group （the traditional model of wound and stoma management）. The postoperative hospital stay ,total costs and the required human resources of the two groups were compared. Results In the treatment group ,the average hospital stay was shorter,the costs was fewer,and the labor required was less than in the control group. Corlclusion The application of the new model of wound and stoma treatment may improve the efficiency of medical resources and reduce the labor costs in surgical ward ,and improve the quality of postoperative wound - stoma management. So it is worthy of generally using in clinical practice.

关 键 词：造口伤口治疗 医疗资源 管理 

分 类 号：R473.6[医药卫生—护理学]