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目的探讨基于病历质控的临床路径管理的实施效果。方法选择2014年1月至2014年3月于河北北方学院附属第一医院接受治疗的108例2型糖尿病患者作为研究对象,根据住院号随机分为观察组(54例)和对照组(54例)。对照组实施一般的临床路径管理,观察组在对照组基础上,实施基于病历质控的临床路径管理。对比两组管理效果并进行分析研究。结果观察组住院时间明显短于对照组,住院费用显著低于对照组,差异均有统计学意义(均P<0.05);观察组总满意率达92.59%(50/54),显著高于对照组的79.63%(43/54),差异有统计学意义(P<0.05);观察组病历甲级率明显高于对照组,乙级率显著低于对照组,差异均有统计学意义(均P<0.05);观察组优良率为85.19(46/54),显著高于对照组的22.22%(12/54),差异有统计学意义(P<0.05)。结论基于病历质控的临床路径管理不仅在临床上患者和医护人员都反应很好,高于传统临床路径管理,还减少患者的住院和恢复时间,减轻患者的费用,值得临床进一步推广。
Objective To explore the effect of clinical path management based on medical record quality control. Methods One hundred and eighty patients with type 2 diabetes treated in the First Affiliated Hospital of Hebei North University from January 2014 to March 2014 were selected and randomly divided into observation group (54 cases) and control group (54 cases ). Control group to implement the general clinical path management, observation group based on the control group, the implementation of clinical path management based on medical records quality control. Compare the two groups of management results and conduct analysis and research. Results The length of stay in observation group was significantly shorter than that in control group, and the hospitalization cost was significantly lower than that in control group (all P <0.05). The total satisfaction rate in observation group was 92.59% (50/54), significantly higher than that in control group Group (79.63%, 43/54), the difference was statistically significant (P <0.05). The grade A of the case group was significantly higher than that of the control group, the grade B rate was significantly lower than that of the control group P <0.05). The excellent and good rate in the observation group was 85.19 (46/54), which was significantly higher than that in the control group (22.22%, 12/54), the difference was statistically significant (P <0.05). Conclusion Clinical pathway management based on medical record quality control not only responds well to clinical and medical staff, but also surpasses the traditional clinical path management. It also reduces the hospitalization and recovery time and reduces the cost of patients, which is worth further promotion in clinic.