腹股沟疝临床路径的优化与临床质量管理的探讨

The explore of optimizing and quality control of clinical pathway of inguinal hernia

目的探讨腹股沟疝临床路径的优化与临床质量管理。方法将2009年11月－2011年5月本院收治的可进入临床路径的腹股沟疝患者,按顺序先后进入常规临床路径及优化临床路径,采用前后对照的方法比较两者在切口感染及血肿并发症、平均住院时间、平均住院费用、总变异人数、退出路径人数及退出路径率的差异,并调查患者与临床工作者对优化的临床路径接受情况。结果优化路径患者在平均住院天数、平均费用、总变异率及退出路径率均较常规路径降低,医患双方均对优化路径表示更满意。结论腹股沟疝临床路径的优化使其具有更广泛的适应性及更良好的可操作性,更有利于临床质量管理,值得推广。

Objective To discuss the influence of optimizing and quality control of clinical pathway of inguinal hernia.Methods From November 2009 to May 2011 in Jiangmen Central Hospital,a total of 263 patients with inguinal Hernia were put into clinical pathway.First 125 cases of these patients as control group were put into conventional clinical pathway,and the following 138 cases as treatment group were put into optimized clinical pathway,with comparison of local infection,haematoma,average hospital stays,average cost in hospitalization,variation,amount and percentage of clinical pathway abortion between the two groups.Investigated the patients＇ and the medical stuffs＇ approval of the optimized clinical pathway.Results There was no significant difference in local infection,haematoma between the two groups.The average hospital stays,average cost in hospitalization,variation,amount and percentage of clinical pathway abortion are lower in the treatment group,it showed significant difference.Conclusion Optimized clinical pathway of inguinal hernia is more compatible and provides more maneuverability,it benefits more in quality control and is worth to carry out.