实施临床路径对医护耦合性缺陷及患者满意度的影响  

Influence of clinical pathway on doctor-nurse coupling defects and patient satisfaction

作　　者：王凤[1] 盛莉莉[1] 张翠云[1] 卜学文[1] 

机构地区：[1]滨州医学院附属医院外科,山东滨州256603

出　　处：《护理学杂志》2011年第20期67-68,共2页

摘　　要：目的探讨临床路径的实施对医护耦合性缺陷发生率及患者满意度的影响。方法将152例符合临床路径诊疗的重症膝关节骨性关节炎、股骨颈骨折、胫骨平台骨折患者按病区分为对照组、路径组各76例。对照组按常规实施治疗、护理;路径组制订3个疾病的医师版、护理版、患者版临床路径,按程序诊疗、护理。结果路径组医护耦合性缺陷发生率显著低于对照组、患者满意率显著高于对照组(均P<0.01)。结论临床路径的实施可有效降低医护耦合性缺陷发生率,提高医护服务质量,从而提高患者满意度。Objective To reduce doctor-nurse coupling defects,and to ensure medical safety test the effect of clinical pathway on doctor-nurse coupling defects and patient satisfaction.Methods Totally,152 patients met criteria of clinical pathway of severe knee osteoarthritis,femoral neck fracture,and tibial plateau fracture were divided into two groups of 76.The control group were given conventional therapy and nursing care,the pathway group received therapy and nursing care according to clinical pathway written in physician edition,nurse version and patient version.Results Compared with the control group,the incidences of doctor-nurse coupling defects were significantly reduced and patient satisfaction was significantly promoted in the pathway group（P0.01 for bot）.Conclusion The clinical pathway can effectively decrease incidence of doctor-nurse coupling defects,improve health care quality and patient satisfaction.

关 键 词：临床路径 医护耦合性缺陷 膝关节骨性关节炎 股骨颈骨折 胫骨平台骨折 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]