临床路径在浙江省某县级医院大肠息肉内镜诊疗中的应用  

Application of Clinical Pathway on Endoscopic Resection of Colorectal Polyps in a Hospital,Zhejiang

作　　者：江永平[1] 张勇[1] 蒋宁[1] 李明娟[1] 李雅娟[1] 杨佐南 

机构地区：[1]浙江省嘉善县第一人民医院消化科内镜中心,嘉兴314000

出　　处：《医学与社会》2015年第4期68-70,共3页Medicine and Society

基　　金：2012年浙江省医学会正大青春宝肿瘤科研专项项目;编号为2012ZYC-A67

摘　　要：目的:评价临床路径在内镜下治疗大肠息肉的应用效果。方法:根据入选标准,将大肠息肉患者137例分成路径组(n=70)与对照组(n=67),医护人员采用统一表格进行调查、评价分析。结果:路径组患者的肠道准备药物不良反应少于对照组,肠道清洁满意率较对照组高,治疗并发症发生率、咨询次数、疾病相关知识知晓率和治疗满意度情况好于对照组,住院天数、术前住院天数、住院费用较对照组少,组间差异均有统计学意义(P<0.05)。结论:实施内镜下治疗大肠息肉的临床路径工作,增强医患互动,治疗更安全、有效,提高了患者治疗满意度,降低了住院治疗费用,适宜在临床工作中推广。Objective： To evaluate the effect of the clinical pathway on endoscopic resection of Colorectal Polyps. Methods： 137 patients with colorectal polyps were divided into clinical pathway group（ n = 70） and non- clinical pathway group（ n = 67）. Medical staff use a unified form of survey,evaluation and analysis. Results： Compared with clinical pathway group,sertraline group was lower adverse reaction on bowel preparation;Intestinal cleaning satisfaction clinical pathway group compared with sertraline group,The clinical pathway group patients complication rate,consultation time,rate and treatment satisfaction in sertraline group known disease related knowledge. Length of hospital stay,preoperative hospital stay,hospital costs less than in the control group patients,there were statistically significant differences between two groups（ P〈0. 05）. Conclusion： Practicing the clinical pathway administration to the patients with endoscopic resection of colorectal polyps,doctor patient interaction,making the treatment more safe,effective,improved patient treatment satisfaction,reduced hospitalization costs,suitable for promotion in clinical work.

关 键 词：临床路径 住院天数 住院费用 

分 类 号：R197.323[医药卫生—卫生事业管理]