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目的:研究临床路径在~(131)I治疗的甲亢病人治疗及护理中应用的可行性和实施效果。方法:2014年8月—2015年3月收治的163例接受~(131)I治疗的甲亢病人作为实验组,实施临床路径;2014年1月—7月收治的183例接受~(131)I治疗的甲亢病人为对照组,实施常规治疗和护理。比较两组病人的疗效、对疾病的认知水平、满意度、住院天数、住院费用情况。结果:实验组病人出院前对疾病的认知水平和对医疗、护理满意度明显高于对照组(P<0.05),实验组病人的住院天数、住院费用明显低于对照组(P<0.05),两组疗效差异无统计学意义。结论:在保证医疗护理质量的前提下,临床路径应用于接受~(131)I治疗的甲亢病人中,能提高病人对疾病的认知水平,提高病人对医疗、护理工作的满意度,减少住院天数和住院费用。
Objective: To study the feasibility and effect of clinical pathways in the treatment and nursing of patients with hyperthyroidism treated with ~ (131) I. Methods: A total of 163 patients with ~ (131) I-treated hyperthyroidism admitted to our hospital from August 2014 to March 2015 were enrolled in the study. Clinical pathology was performed. In 183 patients who underwent 131 I treatment between January 2014 and July 2014, Treatment of hyperthyroidism patients for the control group, the implementation of conventional treatment and care. Compare the curative effect of two groups of patients, the cognitive level of the disease, satisfaction, hospitalization days, hospitalization costs. Results: The cognitive level of the patients in the experimental group before discharge from the hospital and their satisfaction with the medical care and nursing were significantly higher than those of the control group (P <0.05). The hospitalization days and hospitalization costs of the experimental group were significantly lower than those of the control group (P <0.05) , No significant difference between the two groups. Conclusion: Under the premise of guaranteeing the quality of medical care, the clinical pathway should be applied to patients with hyperthyroidism treated with ~ (131) I, which can improve patients ’cognition of disease, improve patients’ satisfaction with medical and nursing work and reduce hospitalization Days and hospital costs.