输尿管结石单病种实施电子化临床路径的效果分析  

The Application Effect Analysis of Electronic Clinical Pathway in the Single Diseases of Ureteral Calculus

作　　者：梁耿祺[1] 徐勋[1] 冯权尧[1] 石明[1] 

机构地区：[1]广东省佛山市南海区人民医院泌尿外科,佛山市528200

出　　处：《中国病案》2015年第11期21-23,共3页Chinese Medical Record

基　　金：佛山市卫生局医学科研项目(2014239)

摘　　要：目的探讨电子化临床路径对输尿管结石单病种治疗的效果。方法选择2013年8月至2014年8月间输尿管结石单病种228份病例随机分为对照组和观察组,对平均住院时间、平均住院费用、并发症、复发率和满意度等进行对比分析。结果观察组与对照组的住院时间分别为7.52±0.18天和8.67±0.24天(P<0.05),住院费用分别为6752.09±169.21元与7892.63±377.33元(P<0.05),满意度分别为98.05±0.31分与93.16±0.78分(P<0.05),并发症发生率分别为5.00%与6.49%(P>0.05),复发率分别为0.84%与10.19%(P<0.05)。结论电子化临床路径管理实施能有效缩短平均住院日,降低医疗费用,保证医疗质量,预防结石复发,提高病人满意度,具备良好的临床疗效和社会效益,值得临床推广。Objective To explore the effects of electronic clinical pathway on the single disease treatment for ureteral calculus. Methods To choose the patients who suffered the single disease of ureteralcalculi from August 2013 to August 2014, and then divided them into control group and observation group randomly, finally made comparison analysis on items such as average length of hospital stay, average expenses, complications, recurrence rate and degree of satisfaction. Results The length of hospital stay was 7.52 ± 0. 18d in observation group, which was 8.67 ±0. 24d in control group by contrast （t=-38.33, P〈0. 05）. The average expenses was 6752.09 ±169.21 yuan in observation group, which was 7892.63 ±377. 33 yuan in control group by contrast （x^2. 75, P〈0. 05）. The degree of satisfaction was 98.05 ± 0. 31 points in observation group, which was 93.16 ± 0. 78 in control group by contrast （t=-62. 61, P〈0. 05）. The complications rate was （5.00%） in observation group, which was （6.49%） in control group by contrast （S=0. 0032, P〉0. 05）. The recurrence rate was 0. 84% in observation group, which was 10. 19% in control group by contrast （x^2=-12.38, P〈0. 05）. Conclusions With the application of electronic clinical pathway, length of hospital stay would be shorter, the average expenses would be decreased, the medical treatment quality could be guaranteed, the recurrence of ureteral calculus was lower, improve the satisfaction of the patients, have good clinical curative effects and social benefits, which is worth to be promotion in all the hospitals.

关 键 词：输尿管结石 临床路径 单病种 

分 类 号：R197.323[医药卫生—卫生事业管理]