过敏性紫癜临床路径的价值分析  

The Value of Clinical Pathway in Allergic Purpura

作　　者：路苓[1] 张明明[1] 

机构地区：[1]枣庄市立医院儿科,山东枣庄277100

出　　处：《中国继续医学教育》2017年第13期88-90,共3页China Continuing Medical Education

摘　　要：目的研究过敏性紫癜临床路径应用后对临床价值统计分析,为临床路径的推广及规范临床提高医疗质量提供理论依据。方法选取本院小儿内科病房2015年1月—2016年12月过敏性紫癜患儿82例作为研究对象,将其分为对照组(34例)与观察组(48例),其中观察组中2例患者中途退出,观察疗效判断、医嘱的依从性、患儿家长的治护满意度、健康知识知晓率、疾病复发率。结果观察组疾病疗效总有效率97.82%,对照组为82.36%,组间对比,差异有统计学意义(P<0.05);观察组医嘱依从率为95.65%,对照组为73.53%,差异有显著统计学意义(P<0.01);观察组家长的治护满意度为97.83%,对照组为82.35%,组间对比,差异有统计学意义(P<0.05);观察组健康知识知晓率为95.65%,对照组为70.59%,差异有显著统计学意义(P<0.01);观察组3个月内疾病复发率为19.57%,对照组为58.82%,差异有显著统计学意义(P<0.01)。结论诊疗宣教严格按照过敏性紫癜临床路径进行,患儿疾病疗效好,医嘱依从性、患儿家长的治护满意度及健康知识知晓率高,3个月的疾病复发率低。过敏性紫癜临床路径有较高的社会效益,值得推广应用。Objective To study the Statistical analysis of clinical value of the clinical pathway in allergic purpura, and to provide a theoretical basis for the promotion of clinical pathway and standardize the clinical improvement of medical quality. Methods 82 children with allergic purpura from January 2015 to December 2016 in our hospital were selected as the object of study, which were divided into the control group（34 cases） and the observation group（48 cases）, among the observation group, 2 patients exited halfway. The curative effect, the compliance of doctor＇s advice, the satisfaction degree of parents＇ nursing care, the rate of health knowledge and the rate of disease recurrence were observed. Results The total effective rate was 97.82% in the observation group and 82.36% in the control group,The difference between the two groups was statistically significant（P〈0.05）; The compliance rate of doctors in observation group was 95.65%, and that in control group was 73.53%, the difference was statistically significant（P〈0.01）. The satisfaction degree of parents in the observation group was 97.83%, and that in the control group was 82.35%, the difference between the two groups was statistically significant（P〈0.05）. The awareness rate of health knowledge was 95.65% in the observation group and 70.59% in the control group, the difference was statistically significant（P〈0.01）. The recurrence rate was 19.57% in the observation group and 58.82% in the control group in 3 months, the difference was statistically significant（P〈0.01）. Conclusion The clinical diagnosis and treatment should be carried out strictly according to the clinical pathway of allergic purpura, children with good curative effect, doctors＇ compliance, parental satisfaction and health knowledge were high, 3 months of disease recurrence rate is low. The clinical pathway of allergic purpura has high social benefit and is worthy of popularization and application.

关 键 词：过敏性紫癜 临床路径 价值 

分 类 号：R554.6[医药卫生—血液循环系统疾病]