临床路径在结节性甲状腺肿切除术患者中的应用

Application of clinical pathway in nodular goiter patients underwent strumectomy

目的:探讨临床路径应用于结节性甲状腺肿切除术患者的效果评价。方法:选择临床路径实施前后的结节性甲状腺肿手术的患者为观察对象,以2009年4月～2010年4月未实施临床路径的患者为对照组,2010年4月～2011年4月实施临床路径的患者为试验组,每组各105例,试验组应用临床路径管理,对照组按照常规护理方式管理,比较两组患者的平均住院日、住院费用、并发症、护理质量和满意度。结果:试验组患者的平均住院日缩短、平均费用明显下降、并发症发生减少,护理质量和满意度明显优于对照组(P<0.05)。结论:在结节性甲状腺肿切除术中应用临床路径管理,可缩短平均住院日、减少患者平均费用、提高护理质量和满意度。

Objective To exp lore the effects of clinical pathway for nodular goiter patients underwent strum ectomy. Method The nodular goiter patients under went strumectomy was selected,the patients didn＇t receive clinical pathway dur ing April 2009 and April 2010 as the control group,and those received clinical pathway during April 2010 and April 2011 as the experimental group,105 cases in each group.The mean hospital time,hospitalization costs,complication incide nce,nursing quality and satisfaction were compared between the two groups. Results Compared with the control group,the mean hospital time was shorter,mean ho spitalization costs was lower,complication incidence was lower and nursing qual ity and satisfaction was better in the experimental group（P0.05）. Conclusion Application of clinical pathway in nodular goiter patients underwent strumectomy can shorten the mean hospital time,lower the mean hospitalization costs and im prove nursing quality and satisfaction.