精神分裂症住院患者规范化综合治疗临床路径的研究  

The standardized integrative therapy clinical pathway on patients with psychosis in inpatientdepartment

作　　者：马辛[1] 蔡焯基[1] 郑毅[1] 陈斌[1] 王刚[1] 周方[1] 王传跃[1] 王红星[1] 陈建生[1] 毛佩贤[1] 胡丽丽[1] 潘俊峰[1] 崔永华[1] 

机构地区：[1]首都医科大学附属北京安定医院,100088

出　　处：《中华精神科杂志》2012年第3期165-168,共4页Chinese Journal of Psychiatry

基　　金：首都医学发展科研基金（2007-2055）

摘　　要：目的评价临床路径应用于住院精神分裂症患者的效果。方法将2008年8月至2009年10月在首都医科大学附属北京安定医院新住院精神分裂症患者135例，依据Rihaid Doll随机分配卡法随机分为临床路径组（研究组，65例）和传统治疗组（对照组，70名），研究组采用临床路径医疗护理方法，对照组采用传统医疗护理方法；评价指标为疗效、平均住院天数、平均住院费用和满意度。结果研究组的平均住院天数显著低于对照组[（41±13）d：（47±12）d；t=-2．555，P=0．012]，住院总费用显著低于对照组[（9685．70±4213．75）元：（11192．61±4118．50）元；t=-2．101，P=0．038]；研究组痊愈率、显好率、好转率分别为16．9％、47．7％、35．4％，对照组分别为11．4％、30．0％、58．4％，2组比较差异有统计学意义（X^2=7．284，P=0．026）；患者满意度高于对照组（100％：88．6％；X^2=24．785，P=0．000）。结论临床路径应用于住院精神分裂症患者，可以明显缩短平均住院天数，降低住院费用，提高患者满意度。Objective To evaluate the effect of the standardized integrative therapy clinical pathways （CP） on inpatients with schizophrenia. Methods A total of 135 inpatients with schizophrenia in Beijing Anding hospital from Aug. 2008 to Oct. 2009 were randomly assigned to the two groups, with 65 cases in the CP group and 70 in the control group. Clinical pathway medical and nursing methods were applied in CP group and traditional medical and nursing methods in control group. The clinical data of the hospitalization days, hospitalization charges, and satisfaction of the patients and so on between CP group and control group were compared. Results Comparing with the control group, the patients of CP group had shorter hospitalization days [ （41 ± 13） d vs. （47 ± 12） d; t = - 2. 555, P = 0. 012] , lower charges （9685.70 ±4213.75） yuan vs. （11 192. 61 ±4118.50）yuan; t = -2. 101, P =0. 0382. The recovery rate, obvious improvement rate, and improvement rate in the CP group were 16. 9% , 47.7% , 35.4% and the ones in the control group were 11.4% , 30.0% , 58.4% with significantly statistical differences （ X^2= 7. 284, P =0. 026）. The satisfaction rate was higher in the CP group than the control group （100% vs. 88.6% , X^2 = 24. 785, P =0. 000）. Conclusion The method of clinical pathways could markedly decrease the average hospitalization days and the hospitalization charges, and improve satisfaction of the patients with schizophrenia in inpatient department.

关 键 词：住院病人 精神分裂症 临床路径 病人医疗护理 

分 类 号：R749.3[医药卫生—神经病学与精神病学]