摘要
目的评价实施长途转运呼吸衰竭患者临床路径的效果。方法利用非同期队列研究比较实施临床路径前(传统组)与实施临床路径后(路径组)患者的相关情况。主要评价指标:①病情恶化;②成功转运;③死亡。结果与传统组相比,实施临床路径组患者途中出现病情恶化的比例下降(35.29%&16.67%,P<0.05),成功转运率有上升趋势(91.76%&94.45%,P>0.05),死亡率无明显变化(3.52%&2.78%,P>0.05)。结论通过实施临床路径,长途转运呼吸衰竭患者可提高效果,值得推广。
Objective To evaluate the effects of a clinical pathway for long-distance transfer of patiets with respiratory Failure and to provide evidence for further improvement of the pathway. Methods A total of 121 patients were studied,among whom 85 were investigated in the period before the implement of clinical pathway,and 36 were investigated in the implementation of clinical pathway. A prospective cohort study was applied to compare the status between the traditional group （patients transfered from Dec. 2004 to Dec. 2006） and the clinical pathway group（patients transfered from Jan 2007 to Nov 2008） and the clinical pathway was applied in the latter. The main criteria for the evaluation were： （1）deteriorated condition; （2）success and （3）death. Results Compared with the traditional group,the deteriorated condition rate was decreased（35.29% VS 16.67%, P 〈 0.05）, the success rate was increased（91.76% VS 94.45%, P〉 0.05） and no significant difference was observed in the death rate. Conclusion The application of clinical pathway in the long distanse transfer of the patients with respiratory failure can improve the quality of medical care, worth of recommendation.
出处
《中国现代医生》
2009年第20期4-5,共2页
China Modern Doctor
基金
2007年度江门市卫生系统医学科研立项项目
项目编号:07A002
关键词
呼吸衰竭
长途转运
临床路径
Respiratory failure
Long distance transfer
Clinical pathway
