门脉高压症脾切除术病人实施临床路径管理的探讨  

PRACTICE OF CLINICAL PATHWAYS IN PATIENTS UNDERGOING SPLENECTOMY FOR PORTAL HYPERTENSION

作　　者：李畅[1] 李少波[1] 黄凡[1] 

机构地区：[1]青岛市市立医院肝胆外科,山东青岛266011

出　　处：《齐鲁医学杂志》2013年第1期89-90,93,共3页Medical Journal of Qilu

摘　　要：目的探讨临床路径在门脉高压症脾切除术病人中应用的效果。方法选择同期住院的门脉高压症脾切除术病人60例,随机分成两组,各30例。观察组按制定的临床路径表进行治疗护理,对照组按常规医疗护理模式护理。对两组病人的住院时间、住院费用、健康知识掌握程度、满意度进行比较。结果观察组病人的住院时间、住院费用均低于对照组,健康知识掌握程度及满意度高于对照组,差异均有显著性(t=3.475～52.812,P<0.01)。结论临床路径应用于门脉高压症脾切除术病人效果优于传统医疗路径。Objective To assess the effect of application of clinical pathways on patients undergoing splenectomy for por tal hypertension. Methods Sixty patients undergoing splenectomy for portal hypertension of the corresponding time period were selected and evenly randomized to two groups. Patients in observation group were treated and nursed according to established criti- cal pathway tables, and those in control group received conventional medical care models. Time and cost of hospitalization, aware- ness of health knowledge, and degree of satisfaction between patients of the two groups were compared. Results The hospital stay was shorter, the cost of hospitalization was lower, the awareness of health knowledge and the degree of satisfaction were hig- her in patients of the observation group than that of lhe control, the differences were significant （t = 3. 475-52.812, P〈0.01 ）. Conclusion The critical pathways are superior to traditional medical care for patients who undergo splenectomy for portal hyper- tension.

关 键 词：临床路径 门脉高压症 脾切除术 护理研究 问卷调查 

分 类 号：R473.6[医药卫生—护理学]