临床护理路径对降低住院成本的探讨  

Research of clinical nursing pathway in reducing hospitalization costs

作　　者：陈秋霞[1] 辜丽江[1] 尹艳红[1] 张艳华[1] 

机构地区：[1]武汉科技大学附属天佑医院,武汉430064

出　　处：《中国临床护理》2010年第5期436-437,440,共3页Chinese Clinical Nursing

摘　　要：目的探讨临床护理路径能否降低住院成本。方法选取2006年1月—2007年12月十二指肠球部溃疡并出血的67例患者为对照组,2008年1月 2009年10月十二指肠球部溃疡并出血的88例患者为实验组。实验组按制定好的临床护理路径表实施每日护理工作,对照组采用传统护理方法,比较两组患者的住院费用、住院天数及满意度。结果实验组患者的平均住院费用、明显低于对照组(P<0.01),平均住院日少于对照组(P<0.05),满意度则显著高于对照组(P<0.05)。结论实施临床护理路径可以降低住院费用,缩短平均住院日,提高患者的满意度,节约卫生资源。Objective To study the effectiveness of the clinical nursing pathway in reducing hospitalization costs. Methods 67 patients with duodenal ulcer and bleeding in January 2006 to December 2007 were selected as control group, and 88 cases in January 2008 to October 2009 were selected as experimental group. The experimental group were given nursing according to clinical nursing pathway, and the control group were given traditional nursing. The hospital costs, hospitalization days and patients＇ satisfaction were compared. Results The average hospitalization costs of the experimental group were significantly lower than the control group （P^0.01）, while the average length of hospital stay of the experimental group were less than the control group （P〈0.05）, patientsr satisfaction was significantly higher （P 〈 0. 05）. Conclusion Implementation of clinical nursing pathway can reduce hospitalization costs, shorten average length of hospital stay, improve patients＇ satisfaction, and save health resources.

关 键 词：临床路径 住院成本 十二指肠溃疡 

分 类 号：R47[医药卫生—护理学]