二级甲等医院单病种质量管理的临床路径实施效果评价

Evaluation on the Implementation Effect of Clinical Pathways of Single-disease Quality Management in Second-class First-class Hospitals

目的探讨二级甲等医院单病种质量管理的临床路径实施效果评价。方法选取2019年1月—2020年1月于该院行腹腔镜阑尾切除术的182例患者,遵循随机抽样原则,将其分成两组,每组91例。A组患者未实施质量管理,B组患者实施质量管理,比较两组的临床指标、对管理的满意度、健康宣教知晓率及对医院的评价。结果B组患者住院天数、住院所花费用以及SAS评分均优于A组,差异有统计学意义(P<0.05);B组病患管理满意情况(94.53%)明显高于A组(83.52%),差异有统计学意义(P<0.05);B组患者健康宣教知晓率明显高于A组,差异有统计学意义(P<0.05);B组对医院的评价明显优于A组,差异有统计学意义(P<0.05)。结论医院应用单病种质量管理,可有效提升管理质量,减少患者住院天数,降低患者住院所花费用,建议临床可广泛使用。

Objective To discuss the implementation effect evaluation of the clinical pathway of single-disease quality management in second-class hospitals.Methods From January 2019 to January 2020,selected 182 patients who underwent laparoscopic appendectomy,and followed the principle of random sampling,divided them into two groups,with 91 patients in each group.The patients in group A did not implement quality management,and the patients in group B implemented quality management.The clinical indicators,satisfaction with management,awareness rate of health promotion and education,and evaluation of the hospital were compared between the two groups.Results The number of days in hospital,the cost of hospitalization and the SAS score of group B patients were better than those of group A,the difference was statistically significant(P<0.05);the satisfaction of patient management in group B(94.53%)was significantly higher than that of group A(83.52%),the difference was statistically significant(P<0.05);the awareness rate of health education for patients in group B was significantly higher than that of group A,the difference was statistically significant(P<0.05);group B’s evaluation of the hospital was significantly better than group A,the difference was statistically significant(P<0.05).Conclusion The application of single-disease quality management in hospitals can effectively improve the quality of management,reduce the number of days that patients stay in the hospital,and reduce the cost of hospitalization.It is recommended that it can be widely used in clinics.