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目的 :研究临床路径在胃癌、结肠癌病人中的应用效果。方法 :选择胃癌、结肠癌病人各 30例 ,同一种病人随机分成两组。实验组按制定好的临床路径模式实施每日诊疗、护理、康复工作 ;对照组按常规模式工作 ,观察比较两组病人 ,在平均住院日、住院费用、健康知识掌握情况、术后生活自理能力恢复情况四个方面有无差异性。结果 :实验组病人的平均住院日和平均住院费用低于对照组 (P <0 .0 1和P <0 .0 5 )健康知识的掌握及术后生活自理能力的恢复情况均优于对照组 (P <0 .0 1)。结论 :按照临床路径实施诊疗、护理及病人的自我康复 ,可以减少无效住院日 ,降低住院费用 ,利于病人主动参与诊疗和护理 ,促进术后生活自理能力的恢复。
Objective: To study the clinical effect of gastric cancer and colon cancer patients. Methods: Thirty patients with gastric cancer and colon cancer were selected, and the same patient was randomly divided into two groups. The experimental group according to the development of a good clinical path model for daily diagnosis and treatment, nursing and rehabilitation work; control group according to the conventional mode of work, observed and compared two groups of patients in the average length of stay, hospitalization costs, health knowledge, postoperative self-care ability Whether there are differences in the recovery of the four aspects. Results: The average length of hospital stay and the average hospitalization cost of the experimental group were lower than those of the control group (P <0.01 and P <0.05), and the recovery of self-care ability was better than that of the control group (P <0. 01). Conclusion: According to the clinical path, the implementation of treatment, nursing and patient self-recovery can reduce the invalid hospitalization days, reduce the cost of hospitalization, facilitate the patient’s active participation in the diagnosis and treatment and nursing, and promote the recovery of postoperative self-care ability.