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目的探讨我院肝囊型包虫病临床路径护理文本设计合理性及在肝囊型包虫病患者中的应用效果。方法 1介绍我院肝包虫专科肝囊型包虫病临床路径护理文本的设计。2将已经实施临床路径管理的肝囊型包虫病手术患者36例设为实验组,未实施临床路径管理的肝囊型包虫病手术患者36例设为对照组。比较两组住院患者的健康知识掌握情况、住院天数、总住院费用、患者满意度、术后进食时间、出院随访情况。结果与对照组比较,实验组平均住院天数路径组13.4 d,对照组17.3 d,P值<0.05,有统计学意义;住院费用实验组14523.4元,对照组16007.3元,P值<0.05,有统计学意义;患者满意度实验组100%,对照组90%,P值<0.05,有统计学意义;术后进食时间实验组为术后1.2 d,对照组为术后1.8 d,P值<0.05,有统计学意义,出院随访情况实验组36例均无失访,对照组8例失访,P值<0.05,有统计学意义。结论我院肝囊型包虫病临床路径护理文本设计合理有效,可缩短其平均住院时间,降低住院费用,提高患者的满意度,患者的医从性提高,失访率降低。
Objective To investigate the rationality of the design of clinical pathological care of hepatic cystic echinococcosis in our hospital and its application in patients with hepatic cystic echinococcosis. Method 1 Introduction to our hospital hepatic hydatid specialist hepatic cystic echinococcosis clinical path nursing text design. Thirty-six patients with hepatic cystic echinococcosis who underwent clinical path management were enrolled as experimental group, and 36 patients with hepatic cystic echinococcosis who were not under clinical path management were selected as control group. The health knowledge, hospitalization days, total hospitalization costs, patient satisfaction, postoperative eating time and discharge follow-up were compared between two groups. Results Compared with the control group, the average length of hospital stay in the experimental group was 13.4 days in the pathological group and 17.3 days in the control group, with a P value of <0.05, with statistical significance; the hospitalization expense was 14523.4 yuan in the experimental group, 16007.3 yuan in the control group, P <0.05, The satisfaction rate of patients was 100% in the experimental group and 90% in the control group, P <0.05, with statistical significance. The postoperative feeding time was 1.2 days in the experimental group and 1.8 days in the control group, P <0.05 , There was statistical significance. All the 36 patients in the experimental group were lost to follow-up after follow-up. There were 8 patients in the control group who were lost to follow-up. The P value was less than 0.05, which was statistically significant. Conclusions The design of clinical path nursing texts for hepatic cystic echinococcosis in our hospital is reasonable and effective, which can shorten the average length of hospital stay, reduce hospitalization costs, improve patient satisfaction, improve patient compliance and reduce the rate of loss of follow-up.