临床路径在大肠癌手术患者中的应用

目的:研究临床路径在大肠癌手术患者中的应用效果。方法:选择广东省江门地区某三甲医院2006年7月至2007年12月间实施临床路径的大肠癌手术患者192例作为实验组,对照组选择该院2005年1月至2006年6月间未实施临床路径按常规模式实施的大肠癌手术患者174例,比较两组患者在住院日、住院费用、患者满意度等方面有无差异性。结果:实验组患者的平均住院日、住院费用等方面明显低于对照组(P<0.01),患者满意度优于对照组(P<0.01)。结论:按临床路径对大肠癌手术患者实施围手术期诊疗护理计划,可减少患者平均住院日,降低住院费用,提高医疗护理服务质量及患者满意度,为进一步扩大临床路径的临床应用范围提供实验数据。

The Application of Clinical Pathway in Patients with Colorectal Cancer

Objective: To study the application effectiveness of clinical pathway in patients with colorectal cancer.Methods: The 192 patients with colorectal cancer being applied with clinical pathway from July,2006 to December,2007 was selected as the experimental group,and the 174 patients being applied with conventional method from January,2005 to June,2006 was selected as the control group.Data of the time and expense of hospitalization and the degree of satisfaction of the patients was analyzed using statistical method.Results: In the aspects of the average time and expense of hospitalization,the experimental group is lower than the conventional group(P<0.01),and the degree of satisfaction of the patients in the experimental group gets an advantage over the conventional group(P<0.01).Conclusions: The application of clinical pathway in patients with colorectal cancer can decrease the average time and expense of hospitalization,and advance the quality of the service of medical treatment and the degree of satisfaction of the patients.