1型糖尿病临床路径的实施效果评价.docVIP

· 3700 · · 论 著 · 1型糖尿病临床路径的实施效果评价 刘妮娜，潘天荣，杜益君，程媛，郭延云 【摘要】 目的 评价1型糖尿病 (TIDM) 临床路径的实施效果。方法 选取2008-10-18—2010-04-15我 科住院的 TIDM 患者22例为实施临床路径前组；选取2010-04-16—2011-07-30我科住院的TIDM 患者38例为实 施临床路径后组，其中21例完成临床路径，17例未完成临床路径。记录患者的住院时间、住院费用及变异情况。结果 实施临床路径前组和实施临床路径后组护理费用比较，差异有统计学意义 (P0.05); 两组住院时间、住院总费 用、西药费、中成药费、放射费、化验费、诊疗费、检查费比较，差异均无统计学意义 (P0.05)。 完成临床路径组 和未完成临床路径组住院时间、住院总费用、护理费用、西药费比较，差异均有统计学意义 (P0.05); 两组中成药 费、放射费、化验费、诊疗费、检查费比较，差异均无统计学意义 (P0.05)。 进入临床路径的38例患者，共发生 变异55次，其中正变异24次，负变异31次。结论 T1DM 临床路径能减少患者的住院时间、降低医疗费用。 【关键词】 糖尿病，1型；临床路径；医院费用 【中图分类号】 R587.1 【文献标识码】 A 【文章编号】1007-9572(2012)11-3700-03 Implementation and Evaluation of Clinical Pathway for Type 1 Diabetes LIU Ni-na,PAN Tian-rong, DU Yi-jun, et al. Department of Endocrinology, the Second Hospitol of Anhui Medical University,Hefei 230601,China 【Abstract 】 Objective To evaluate the implementation of clinical pathway for type 1 diabetes(T1DM). Methods A prospective study was carried out on a cohort of 38 consecutive T1 DM patients after the application of the clinical pathway group and compared with the results of a historical cohort of 22 patients that had been treated before the application of the clinical path- way group, 21 patients completed the clinical pathway and 17 patients uncompleted. The costs in hospital, variability,and du- ration of hospital stay were recorded and compared. Results Compared with before the application of the clinical pathway group and after the application of the clinical pathway group had significantly lower nursing costs(P0.05). Before the application of the clinical pathway group and after the application of the clinical pathway group were not significantly different in terms of hospital stay, total hospital costs, western medicine fees, Chinese medicine fees, radiology fees, laboratory fees, and other costs(P 0.05). The clinical pathway group had significantly shorter hospital stay and lower total costs of hospitalization, cost of care, and Western m