慢性重度乙型肝炎住院患者应用临床路径的效果评价

发布时间：2018-05-20 07:32

本文选题：肝炎 + 乙型　；参考：《重庆医学》2017年27期

【摘要】：目的评价在慢性重度乙型肝炎(CSHB)住院患者中应用临床路径(CP)的效果。方法选择2014年10月至2016年5月重庆市某三甲医院感染病科收治的CSHB住院患者182例,将其分为CP组和非CP(NCP)组。CP组严格按照临床路径信息化系统所设定的流程进行标准化治疗;NCP组依照传统方法执行。评估两组患者住院时间、住院总费用、药品费用、检查检验费用、综合医疗服务费用和医疗材料费,并对患者进行满意度、疾病知识掌握度、出院后按时服药率及门诊随访率调查。结果CP组患者的住院时间、住院总费用、药品费用和检查检验费用明显低于NCP组(P0.05);患者满意度(100.0%)及疾病知识掌握度(97.3%)均高于NCP组(分别为96.2%和92.4%)。CP组患者按时服药率与门诊随访率均为98.7%,高于NCP组的95.3%和92.5%,差异有统计学意义(P0.05)。结论在CSHB患者中实施CP,能够明显缩短住院时间,减少住院费用,并提高患者满意度和依从性。
[Abstract]:Objective to evaluate the effect of CPP in patients with chronic severe hepatitis B (CSHBB). Methods from October 2014 to May 2016, 182 patients with CSHB were selected from infectious department of Chongqing third Class A Hospital. It was divided into CP group and non-CPNCP.CP group was treated strictly according to the procedure set by the clinical pathway information system. The NCP group was executed according to the traditional method. The duration of hospitalization, total cost of hospitalization, cost of drugs, cost of examination and inspection, cost of comprehensive medical service and medical materials were evaluated, and patients' satisfaction and knowledge of disease were evaluated. To investigate the rate of taking medicine on time and the rate of outpatient follow-up after discharge. Results the duration of hospitalization, total cost of hospitalization in CP group, The drug cost and examination cost were significantly lower than those in NCP group (P 0.05, patient satisfaction: 100.05g) and disease knowledge mastery (97.3%) higher than those in NCP group (96.2%) and 92.4%).CP group (98.7%), higher than that in NCP group (95.3% and 92.5%). The difference was statistically significant (P 0.05). Conclusion the application of CPP in patients with CSHB can significantly shorten the hospitalization time, reduce the cost of hospitalization, and improve patients' satisfaction and compliance.
【作者单位】：第三军医大学社会医学与卫生事业管理学教研室;重庆医科大学附属第二医院医务处;
【分类号】：R197.323;R512.62

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