临床路径在结节性甲状腺肿手术中的应用

The Study and Practice of Clinical Pathway in the Treatment of Nodular Goiter

目的:探讨临床路径在结节性甲状腺肿手术患者中应用的意义。方法:对25例结节性甲状腺肿拟施手术患者按临床路径流程进行治疗和护理(临床路径组),并与同期同类25例按传统常规进行治疗和护理的手术患者(对照组)在住院天数、住院总费用、患者的满意度方面进行分析和比较。结果:临床路径组患者平均住院8 d,对照组平均住院10 d,2组比较有显著性差异(P<0.05);临床路径组患者平均医疗费用3 957元,对照组平均医疗费用5 115元,2组比较有显著性差异(P<0.05);患者的满意率临床路径组为96.00%,对照组为56.00%,2组比较有显著性差异(P<0.05)。结论:临床路径明显降低了住院费用,减少了住院天数,明显提高了患者的满意度,在临床实践中切实可行。

Objective：To study the application of the clinical pathway（CP）in the treatmentof nodular goiter.Methods：The CP group had 25 cases while the control group had 25 cases.Clinical pathway medical and nursing methods were applied in CP group,and traditional medical and nursing methods in control group.The clinical data of the hospital days,hospital charges,complications and satisfaction of the patients in CP group and control group were studied and a statistical analysis was made.Results：Compared with the control group,the patients of CP group had shorter hospital days（10 vs 8 days）,lower charges（5 115 vs 3 957 RMB）,and higher satisfaction（56.00% vs 96.00%）,there was obvious statistical difference（P0.01）.Conclusion：The clinical pathway can lighten the financial burden of patients,reduce postoperative complications,accelerate the postoperative recovery and improve patient satisfaction.