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目的评价临床路径应用于住院惊恐障碍患者的诊疗护理效果。方法依据随机数字表将62例惊恐障碍患者分为观察组30例和对照组32例。观察组采用临床路径管理模式进行诊疗护理,对照组采取常规诊疗护理。评价指标为平均住院时间、平均住院费用、治疗效果、患者满意度和医护人员满意度。结果两组痊愈率比较差异无统计学意义(P>0.05),但观察组却提早1周时间达到了与对照组相似的结果;观察组的平均住院时间和住院总费用显著低于对照组(P<0.05);观察组患者满意度优于对照组(P<0.05);医务人员对路径的实施效果持肯定态度,对路径信息化完善程度及减少工作量方面不满意。结论临床路径可以应用于住院惊恐障碍患者。
Objective To evaluate the clinical nursing effect of clinical pathway in patients with panic disorder. Methods According to the random number table, 62 patients with panic disorder were divided into observation group (30 cases) and control group (32 cases). The observation group was treated with clinical path management and the control group with routine treatment and care. Evaluation indicators for the average length of stay, the average cost of hospitalization, treatment, patient satisfaction and health care workers satisfaction. Results There was no significant difference in cure rate between the two groups (P> 0.05), but the observation group reached a similar result as the control group one week earlier. The average length of hospital stay and total cost of hospitalization in the observation group were significantly lower than those in the control group P <0.05). The satisfaction of patients in the observation group was better than that of the control group (P <0.05). The medical staff had a positive attitude towards the implementation of the path and were not satisfied with the improvement of the path information and the workload reduction. Conclusion The clinical pathway can be applied to patients with hospitalized panic disorder.