尘肺病的临床路径实施的探索和研究.docxVIP

尘肺病的临床路径实施的探索和研究 卢旳春邵春华钟丽萍 (广西壮族自治区职业病防治研究院(广西壮族自治区工人医院)广西 南 宁 530021) 【摘要】目的：探讨尘肺病临床路径在临床治疗中的设计、方法、策略、 效果。方法：选择发病率高的两个尘肺病单病种(矽肺和煤工尘肺)开展临床路 径研究，实验组和对照组各60例，由专家讨论拟定临床路径方案，制定表单， 开展预实验，在对照组中正式实施,对实施效果进行评价，对难点进行评估分析。 结果：平均住院天数实验组为44.23plusmn;1.8天，对照组为63.18plusmn;12.3 天，P0.05,有统计学意义；平均住院费用实验组为9979plusmn;256元，对 照组为13459plusmn;1524元，P0.05,有统计学意义；患者满意度实验组为 95%,对照组为91%, P0.05,有统计学意义。结论：尘肺病临床路径的实施对 缩短平均住院天数、降低住院费用、提高患者满意度效果显著，能规范尘肺病单 病种的医疗行为，控制医疗费用。 【关键词】尘肺病；临床路径；实施方法；研究 【中图分类号】R563 【文献标识码】A 【文章编号】2095-1752 (2015) 26-0125-02 The research and exploration about the implementation of clinical pathway among Pn eumoc on iosis people. Luyunchun,Shaochunhua,zhongliping(The workerprime;s Hospital of GuangXi China) [Abstract] Objective: To explore the design, method, strategy and effect of the treatment of pneumoconiosis by clinical pathway.Methods: Choose two single diseases of pneumoc on iosis that have high in cide nee (They are silicosis and coal workers pn eumoc on iosis) to study of clin ical pathway ? Make the study forms and carry out in the wards after Preliminary experiments.Then evaluate the effect about the impleme ntation and an a lyze the difficulties.Results: The average hospitalizati on days of the test group was 44.23plusmn;1.8 days, the matched group was 63.18plusmn;12.3 days (P lt; 0.05, there is statistical significance);Average hospitalization expense of the test group was 9979plusmn;256 yuan, the matched group wasl3459plusmn;1524yuan (P lt; 0.05, there is statistical significance);Patient satisfaction of the test group was 95%, control group was 91%( P lt; 0.05, with statistical sign 讦 ican ce).C on clusi on: Pn eumoc on iosis the implementati on of clin ical pathway can improve the treatme nt of pn eumoc on iosis single disease quality control and cost control effect. 【Key words] Pn eumoc on iosis, Clin ical pathway 尘肺病是发病率最高的职业病，占职业病发病人数的90%,是影响患者终生 健康的慢性疾病，该病一旦诊断，患者无法被治愈，终生带病，患者常因旧病复 发反复住院⑴。临床路径(clinical pathway,CP)是一种诊疗标准化管理模式，它的 目标是规范医疗行为、降低医疗费用、提高医疗质量⑵。矽肺及