论文部分内容阅读
目的:探讨临床路径管理对糖尿病患者住院天数和住院费用的影响,为临床治疗提供依据。方法:选择2012年1月~2014年12月本院收治的2型糖尿病住院患者245例,按照随机数字表法分为观察组和对照组,观察组实施临床路径管理,对照组按照一般治疗方法管理。比较两组患者住院天数、住院费用,血糖监测技术、胰岛素注射技术掌握情况以及患者满意度。结果:观察组患者住院天数和住院费用均少于对照组,差异有统计学意义(t=-15.700、-19.688;P<0.05)。观察组患者血糖监测技术和胰岛素注射技术掌握率均为100%,显著高于对照组93.91%和86.96%,差异有统计学意义(Z=-13.450,-12.152;P<0.05)。观察组患者总满意度为100%,高于对照组总满意度98.26%,差异有统计学意义(Z=-14.098;P<0.05)。结论:对糖尿病患者实施临床路径管理,能够减少患者住院天数、降低住院费用、提高患者自我管理能力、提高患者满意度,值得临床推广借鉴。
Objective: To explore the impact of clinical path management on hospitalization days and hospitalization costs of diabetic patients, and provide the basis for clinical treatment. Methods: A total of 245 inpatients with type 2 diabetes mellitus admitted from January 2012 to December 2014 in our hospital were divided into observation group and control group according to the random number table. The observation group was administered clinical pathology, and the control group was treated according to the general treatment method management. The days of hospitalization, hospitalization, glucose monitoring, insulin injection and patient satisfaction were compared between the two groups. Results: The hospitalization days and hospitalization costs of the observation group were less than those of the control group, the difference was statistically significant (t = -15.700, -19.688; P <0.05). Observation group patients with blood glucose monitoring technology and insulin injection rate of 100%, significantly higher than the control group 93.91% and 86.96%, the difference was statistically significant (Z = -13.450, -12.152; P <0.05). The total satisfaction of patients in observation group was 100%, which was higher than that of control group (98.26%), the difference was statistically significant (Z = -14.098; P <0.05). Conclusion: The implementation of clinical path management in patients with diabetes can reduce the number of days hospitalized, reduce hospitalization costs, improve patient self-management ability and improve patient satisfaction, which is worthy of clinical reference.