文档介绍：临床路径在计划性剖宫产中的应用
李丹,朱义保,赵菲,万凌玲,郑九生,刘淮
( 江西省妇幼保健院,江西南昌 330006)
【摘要】目的: 探讨卫生部试行的临床路径管理在我院计划性剖宫产中的应用效果。方法: 选取 185 例已实施临床路径管理的计划性剖宫产孕妇( 路径组) 和 96 例未实施临床路径管理的计划性剖宫产孕妇( 对照组) ,对两组孕妇的住院天数、各种住院费用、各项指标的变异系数和构成比,以及患者的满意度和术后并发症等指标进行综合比较分析。结果: 路径组住院天数比对照组缩短,差异有高度统计学意义( P = 0. 00) ,但住院总费用两组比较,差异无统计学意义( P =0. 19) ; 对于住院总费用的构成变化,路径组药费下降,但治疗费增加,两组间的药费和治疗费比较,差异均有统计学意义( P<0. 05) ; 路径组变异系数波动总体较对照组小,患者满意度有所提高,但术后并发症率无明显改变。结论: 临床路径应用于我院计划性剖宫产起到了规范医疗行为的作用。
【关键词】临床路径; 计划性剖宫产; 医疗费用; 变异系数; 满意度
中图分类号: R719. 8 文献标识码: A
Application of Clinical Pathway in Scheduled Caesarean Section
LI Dan,ZHU Yibao,ZHAO Fei,et al
( Jiangxi Maternal and Child Care Hospital,Nanchang Jiangxi 330006,China)
Corresponding author: LIU Huai
【Abstract】 Objective: To evaluate the effect of clinical pathway tried out by the Ministry of Public Health inthe scheduled caesarean section. Methods: 185 cases with scheduled caesarean section were selected clini-cal pathway ( Pathway group) . 96 cases were selected non clinical pathway as control group. The time ofhospitalization,various medical care costs,coefficient of variation and constituent ratio of different parame-ters,and patient’s satisfaction degree as well as plications after operation were analyzed -pared between the two groups. Results: The time of hospitalization in pathway group was shorter than that incontrol group. There was statistical difference between them( P =