DRG综合管理对治疗化脓性阑尾炎的影响研究

Influence of DRG Comprehensive Management on the Effect of Suppurative Appendicitis Surgery

目的:探讨DRG综合管理对治疗化脓性阑尾炎的影响。方法:选择2021年5月-2022年4月化脓性阑尾炎患者76例为对象,所有患者均行阑尾切除术治疗,根据术后管理方式不同分为对照组(n=20例)和观察组(n=56例)。对照组采用按项目付费的常规管理,观察组采用DRG综合管理,评估两组患者的管理效果,比较两组患者心理波动、住院费用、住院时间、尿管留置时间、拆线时间、患者满意度和并发症情况。结果:观察组的SAS评分、SDS评分低于对照组(P<0.05),住院费用、住院时间低于对照组(P<0.05),尿管留置时间、拆线时间以及并发症发生率低于对照组(P<0.05),患者满意度评分高于对照组(P<0.05)。结论:DRG综合管理有助于提高化脓性阑尾炎手术患者的满意度,可降低患者焦虑、抑郁不良情绪,缩短住院时间、拆线时间和尿管留置时间,降低住院费用及并发症的发生率,减轻家庭经济压力。

Objective:The paper explores the effect of DRG comprehensive management on the satisfaction of patients with suppurative appendicitis.Methods:76 patients with suppurative appendicitis admitted to hospital from May 2021 to April 2022 were selected as subjects.All patients were treated with appendectomy.They were divided into control group(n=20 cases)and observation group(n=56 cases)according to postoperative management.The control group adopted the routine management of fee-for-service,and the observation group adopted the comprehensive management of DRG.The management effects of the two groups were evaluated,and the psychological fluctuations,hospitalization expenses,hospitalization time,catheter retention time,suture removal time,patient satisfaction and complications of the two groups were compared.Results:The SAS scores and SDS scores of the observation group were lower than those of the control group(P﹤0.05),and the hospitalization expenses and length of stay of the observation group were lower than those of the control group(P﹤0.05).Compared with the control group,the catheter retention time,suture removal time and the incidence of complications in the observation group were lower than those in the control group(P﹤0.05),and the patient satisfaction score in the observation group was higher than that in the control group(P﹤0.05).Conclusion:The comprehensive management of DRG is helpful to improve the satisfaction of patients with suppurative appendicitis,shorten the hospitalization time,suture removal time and catheter retention time,and reduce the incidence of anxiety and depression,hospitalization expenses,complications ans the family economic pressure.