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目的:分析我院对急性肾盂肾炎患者实施临床路径的临床资料,评估临床路径在急性肾盂肾炎患者中的实施价值。方法:2010年7月-2012年11月未进入临床路径、但符合急性肾盂肾炎临床路径诊断标准且无变异的患者86例,均纳入对照组;2012年12月-2015年5月符合急性肾盂肾炎临床路径诊断标准且无变异的患者68例,均纳入临床路径组;比较对照组和临床路径组患者的平均住院日、平均住院费用、药费、检查费和护理满意度。结果:临床路径组的平均住院日、平均住院费用、药费、检查费均低于对照组(p<0.05)。临床路径组患者护理满意度为97.06%;对照组患者护理满意度为88.37%(p<0.05)。结论:实施急性肾盂肾炎临床路径,降低了医疗成本,规范了医疗行为,提高了患者满意度,缓解了紧张的医患关系。
OBJECTIVE: To analyze the clinical data of clinical pathways in patients with acute pyelonephritis in our hospital and evaluate the clinical value of clinical pathways in patients with acute pyelonephritis. Methods: From July 2010 to November 2012, 86 patients who did not enter the clinical pathway but met the diagnostic criteria of acute pyelonephritis clinical pathology were included in the control group. From December 2012 to May 2015, they were eligible for acute pelvis Nephritis clinical pathological diagnostic criteria and no variation in patients with 68 cases were included in the clinical pathway group; compared with the control group and clinical pathological group of patients in the average length of stay, hospitalization costs, drug costs, examination fees and satisfaction with nursing. Results: The average length of stay, average hospitalization expenses, medical expenses and examinations in the clinical pathway group were all lower than those in the control group (p <0.05). The satisfaction rate of patients in the clinical pathway group was 97.06%, while that in the control group was 88.37% (p <0.05). Conclusion: The clinical path of acute pyelonephritis is implemented, the medical costs are reduced, the medical behaviors are regulated, the patient satisfaction is improved, and the tension between doctors and patients is alleviated.