摘要
目的:分析探讨临床路径对颅内动脉瘤围手术期患者安全的影响。方法:将2012年7-12月收治的68例颅内动脉瘤患者列为观察组,实施临床路径,与2012年1-6月收治的56例对照组进行比较,分析实施临床路径前后患者的手术等待时间、术后并发症发生情况、健康教育内容掌握情况及格拉斯哥预后评分(GOS)。结果 :观察组患者在术后并发症中脑血管痉挛和脑积水的发生率均较之前降低,患者与家属对健康教育内容的知晓率及GOS评分较之前有提高,差异均有统计学意义(P<0.05),观察组术前等待时间较对照组有缩短,但差异无统计学意义(P>0.05)。结论:实施临床路径对颅内动脉瘤患者围手术期安全起到了保障作用,提高治疗效果,并对患者术后康复发挥了积极的作用。
Objective To explore the effect of clinical pathway on the safety in patient with intracranial aneurysms during the perioperative period. Methods A total of 68 patients with intracranial aneurysms who had been hospitalized and treated from July to December 2012 were assigned to a study group and received clinical pathway. And then they were compared with 56 patients who had been treated from January to June （control group）. The patients in control group received routine medical care. Then all the patients were evaluated in preoperative waiting duration, incidence of postoperative complications, health education compliance rate, and the Glasgow outcome scale （GOS） at discharge. Results Both the incidence rate of cerebral vasospasm and hydrocephalus and the health education compliance rate were improved in the study group （P〈0.05）, so was the GOS at discharge and 6 months after discharge （P〈0.05）. Conclusions The clinical pathway management plays a role in guarantee of the safety in patient during the perioperative phase and in the acceleration of postoperative rehabilitation.
出处
《实用医学杂志》
CAS
北大核心
2014年第20期3338-3341,共4页
The Journal of Practical Medicine
基金
江西省卫生厅科技计划项目(编号:20091163)
关键词
颅内动脉瘤
临床路径
围手术期
患者安全
Clinical pathway
Intracranial aneurysm
Perioperative period
Patient safety
