热带病与寄生虫学

热带病与寄生虫学 ›› 2014, Vol. 12 ›› Issue (4): 194-197.doi: 10.3969/j.issn.1672-2302.2014.04.003

• 论著 • 上一篇    下一篇

输入性疟疾临床路径的管理及其应用效果分析

李小丽,邹洋*, 王非,王磊,冯曼玲   

  1. 100050  北京市，首都医科大学附属北京友谊医院，北京热带医学研究所，热带病防治研究北京市重点实验室
  • 出版日期:2014-12-10 发布日期:2015-01-27
  • 基金资助:

    北京市科委 首都临床特色应用研究专项资助项目（Z20130309020037），首都医科大学附属北京友谊医院启动课题（yyqdkt2011-29），国家临床重点专科建设项目资助

Effect of clinical pathway management on imported malaria cases

Li Xiaoli, Zou Yang, Wang Fei, Wang Lei, Feng Manling   

  1. Beijing Institute for Tropical Medicine, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China.*Corresponding Author
  • Online:2014-12-10 Published:2015-01-27

被引次数

3

摘要：  目的  探讨根据临床路径对输入性疟疾治疗的管理及其应用效果。 方法  收集首都医科大学附属北京友谊医院2011年1月至2012年12月期间疟疾住院患者的资料，分为临床路径组（43例，年龄25~56岁）和对照组（37例，年龄16~61岁），评价两组患者住院天数、住院费用、临床疗效以及对疾病知识掌握程度、对医疗护理满意度情况。 结果  临床路径组疟疾患者平均住院天数为（6.1±1.5）d，对照组为（8±2.1）d，两组住院天数比较差异有统计学意义（P=0.000）；临床路径组和对照组总费用分别为（2 766±721）元、（4 393±1 392）元；西药费（576±291）元、（1 145±597）元；检验费（1 355±504）元、（1 939±645）元；检查费（109±16）元、（445±73）元；治疗费（73±22）元、（104±43）元；临床路径组均低于对照组（P＜0.05）。出院时，临床路径组患者对疟疾知识掌握程度、对医疗护理满意度与对照组比较差异有统计学意义（P＜0.05）。两组间临床疗效及30d内同一疾病非计划再入院无差异。 结论  临床路径管理在规范医疗行为的同时降低了本病的医疗成本，避免了过度用药、检查及治疗，临床路径的健康教育模式更有利于输入性疟疾患者的护理与康复。

关键词:  临床路径, 疟疾, 输入性, 健康教育

Abstract:

Objective  To investigate effect of clinical pathway management on imported malaria cases.Methods  The data were collected in inpatients with malaria undergone treatment in Beijing Friendship Hospital Affiliated to Beijing Capital University between January 2011 and December 2012. All patients were divided into pathway management group (n=43, aged 25-56) and control group (n=37, aged 16-61). The two groups were evaluated regarding the length of hospital stay, medical costs, clinical outcomes and the extent of health knowledge as well as satisfaction with medical care. Results  In the pathway management group，average length of hospital stay was (6.1±1.5) d, whereas that for the control group was (8±2.1) d (P=0.000). Total costs in hospitalization for the pathway management group and control group were (2766±721) vs. (4 393±1 392)RMB yuan, the western medicine expenses (576±291) vs. (1145±597), laboratory cost (1 355±504) vs.(1 939±645), physical examination (109±16) vs. (445±73), treatment(73±22) vs. (104±43), respectively. The expense in pathway management group was significantly lower than that of control group(P<0.05). The patients in the pathway management group had better knowledge related to malaria and satisfaction with their medical care in hospital than their counterparts(P<0.05), yet the two groups remained similar concerning the clinical effect within 30 d and the unplanned readmission due to the same disease. Conclusion  Clinical pathway management can regulate medical behaviors through reduction of medical costs, avoidance of excessive laboratory tests and therapy, and is more conducive to care and healing of patients with malaria.

Key words: Clinical pathways, Malaria, Imported malaria cases, Health education