应用全科临床路径治疗带状疱疹、面神经炎的效果分析

Study on the effect of implementing General practice clinical pathway on patients with Herpes zoster or Facial neuritis

目的分析家庭病床患者实施全科临床路径后的成效。方法收集156例家庭病床中带状疱疹、面神经炎(面瘫)患者的病案资料,统计分析《家庭病床质量控制量表》中带状疱疹、面神经炎的全科临床路径、具体口服药物、外用药物种类及疗程、中医治疗疗程等资料,通过回顾性研究及非同期历史对照,以实施全科临床路径前为对照组,实施全科临床路径后为观察组,比较两组患者的建立家庭病床天数、预后、知情率和满意度等。结果观察组的建床时间和上转率明显低于对照组,分别为(10.65±1.83)d、10.26%,和(13.65±2.42)d、48.72%,差异有统计学意义(P<0.01);观察组的治愈率、知情率和满意度明显高于对照组,分别为89.74%、97.44%、93.59%和51.28%、67.95%、51.28%,差异有统计学意义(P<0.01)。结论为建立家庭病床的带状疱疹、面神经炎患者实施全科临床路径能有效规范建床行为,提高患者治愈率、知情率和满意度,防范医疗风险,充分体现"以人为本"的全科理念。

Objective To analyze the effect of implementing General practice clinical pathway on family sickbed patients. Methods 156 cases of home sickbed patients with herpes zoster or facial neuritis were involved in this study.Their medical records and data of ＆#39;Home sickbed quality control scale＆#39; were collected and analyzed,in which there are methods of General practice clinical pathway,decoction of the Chinese Medicine,ingredients and treatment procedures of the topically used TCMs,and acupuncture treatment procedures were documented.The family sickbed days,prognosis,rate of informed and rate of satisfaction were analyzed before and after General practice clinical pathway treatment. Results In the observation group, the family sickbed days（10.65±1.83）d and rate of referral 10.26% were significantly lower（P 〈 0.01） than those in the control group（13.65±2.42）d,48.72% respectively. The rate of cure 89.74% ,the rate of informed patient 97.44% and the rate of satisfaction93.59% were significantly higher（P 〈 0.01） than those in the control group 51.28%、67.95%、51.28%. Conclusion It is worth to implement general practice clinical pathway for patients in home sickbeds with herpes zoster or facial neuritis,It could regulate the behavior of bed setting,improve patient＆#39;s rate of cur,rate of informed and the rate of satisfaction,prevent medical risk and fully embody the idea of ＂people-oriented＂.