摘要
目的通过临床路径的规范管理,探讨急性中毒的护理措施。方法针对2009年5月～2010年4月317例急性中毒病人的临床路径规范管理进行回顾性分析。结果 254例经急诊抢救室处理后,治愈出院(占80.13%),平均治疗时间(8.25±1.12)h;32例病人在急诊科观察室留院治疗2～7d出院(占10.09%),平均住院时间(3.12±1.22)d;27例病情稳定后收住院7～10d出院(占8.51%),平均住院时间(9.3±2.32)d;总治愈314例,治愈率98.73%。再次入院2例,入院率0.63%,医疗费用平均每人412元;317例病人无1例投诉。结论针对临床路径的规范管理,实施相应的护理,有利于提高急诊科的诊疗规范,使病人在最短时间内得到有序的救治。能够降低再次入院率,降低医疗费用,提高病人满意度。
Objective：To explore the nursing implementation of acute poisoning patients through the standardized management of clinical pathway.Methods：Retrospectively analyze the standard management of clinical pathway of 317 patients with acute poisoning since May 2009 to April 2010.Results：254 patients（80.12%） were cured immediately after an average time of（8.25±1.12） hours of emergency intensive care;32 patients（10.09%） were discharged after 7~10 days of stay in observation room in the emergency department,on average（3.12＋1.22） days;27 cases（8.51%） in stable condition discharged after 7~10 days of hospitalization,on average（9.3±2.32） days;totally 314 cases were cured and the cure rate was 98.73%.2 cases of readmission with the rate of 0.63%,the average medical cost were 412 Yuan per person;none of the 317 cases were complained.Conclusion：Implementing the corresponding nursing considering of the standardized management of clinical pathway is benefiting in the improvements of the standards of diagnostic and treatment in the emergency department.It makes the patients receive the orderly treatment in the shortest time.It reduces readmission and health care costs and improve patient＇s satisfaction.
关键词
急性中毒
临床路径
护理管理
Acute poisoning
Clinical pathway
Nursing management
