Application of Clinical Pathway in Peri-operative Nursing Management for Patients with Esophageal Carcinoma_West China Medical Journal

Authors：

 ZHOUHua , ZHANGQiong-fang , YOUShu-qin

Department of Thoracic Surgery, the Third People's Hospital of Zigong City, Zigong, Sichuan 643020, P. R. China;

Corresponding author：

Keywords：

Clinical pathway; Esophageal cancer; Peri-operative duration; Nursing management

DOI：

10.7507/1002-0179.20140473

Video：

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Objective To explore the effect of clinical pathway in peri-operative nursing management of patients with esophageal carcinoma. Methods A total of 120 patients with esophageal cancer who underwent the operation between January 2010 and April 2012 were divided into control group and trial group. the patients in control group was given conventional esophageal carcinoma peri-operative management; while the ones in the trial group received clinical pathway standardized management. The hospitalization days, costs of hospitalization, complications, satisfaction of the patients and families were compared between the two groups. Results The length of hospitalization days and costs in the trial group were lower than those in the control group (P<0.01); the patients and families satisfaction in the trial group was superior to the control group (P<0.05); the difference in complications occurrence between the two groups was not significant (P>0.05). Conclusion The clinical pathway of peri-operative nursing management for patients with esophageal cancer could effectively decrease the costs, improve satisfaction of the patients and families, and ensure the quality of care and improve the nursing efficiency.

Citation： ZHOUHua, ZHANGQiong-fang, YOUShu-qin. Application of Clinical Pathway in Peri-operative Nursing Management for Patients with Esophageal Carcinoma. West China Medical Journal, 2014, 29(8): 1549-1551. doi: 10.7507/1002-0179.20140473 Copy

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1. 李明子. 临床路径的基本概念及其应用[J]. 中华护理杂志, 2010, 45(1):59-61.
2. 磨琨, 黄茜. 临床护理路径管理模式的应用及效果评价[J]. 中华医院管理杂志, 2002, 18(3):170-172.
3. 曹建文, 陈洁, 应向华, 等. 临床路径在医院管理中的应用[J]. 中国医院, 2009, 13(6):6-10.
4. 马丹, 袁岚. 系统呼吸训练在食管癌患者围手术期的应用[J]. 华西医学, 2013, 28(6):922-923.
5. 朱士俊, 鲍玉荣, 刘爱民, 等. 北京地区医院按DRGs付费和临床路径应用研究[J].中华医院管理杂志, 2008, 24(3):145-147.
6. 姚红, 魏东海, 叶广锋, 等. 临床路径试点观察:病种选择、平均住院日、平均住院费用——大学附属医院实施临床路径试点调查分析[J]. 中国医院, 2012, 16(3):36-39.
7. 游斌权, 蒋虹, 杨松涛, 等. 一体化临床路径管理模式的应用[J]. 中国医院, 2012, 16(11):42-45.
8. 王凤英, 焦河. 临床护理路径在脑卒中患者康复中的应用[J]. 华西医学, 2013, 28(8):1268-1270.
9. 刘润娥, 孟晔, 左慧肖. 健康教育是建立新型护患关系的重要环节[J]. 中国医学研究与临床, 2008, 6(4):80-81.
10. 展咏, 杨建华. 作业流程重组理论在缩短平均住院日上的应用研究[J]. 中外医疗, 2008, 27(19):168.
11. 陈玉红, 刘萍, 程敏, 等. 临床路径在心脏手术围术期护理管理中的应用[J]. 护士进修杂志, 2005, 20(5):411-413.
12. 齐德广, 秦银河, 李书章, 等. 临床路径的应用及其相关问题和对策[J]. 解放军医院管理杂志, 2003, 10(1):38-39.
13. 魏晓琼, 郑显兰. 临床路径变异分析研究现状[J]. 中国护理管理, 2011, 11(7):15-17.

West China Medical Journal

Application of Clinical Pathway in Peri-operative Nursing Management for Patients with Esophageal Carcinoma

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