临床护理路径管理对缩短2型糖尿病患者住院日的研究.docVIP

临床护理路径管理对缩短2型糖尿病患者住院日的研究 成忠晏 张宏艺 古文巧 作者简介 成忠晏，女，1969.10，大学，副主任护师，护理部主任 作者单位 657200 镇雄，镇雄县人民医院护理部 【摘要】 目的 探讨临床护理路径管理对缩短2型糖尿病患者住院日的效果。方法 将60例2型糖尿病住院患者随机平均分为对照组和实验组，对照组采取常规护理，实验组采取临床护理路径管理。对两组病人住院日数进行比较。结果 实验组病人住院日数明显较对照组缩短。结论 临床护理路径管理是一种有效的全新的高效率、高品质和低费用的护理管理模式，能缩短2型糖尿病患者住院天数，能明显降低患者医疗费用，能使患者获得相对最佳的医疗和护理服务质量，能提高住院患者及家属的满意率，能提高医院社会效益和经济效益。 【关键词】 临床护理路径管理；2型糖尿病患者；住院日 Clinical Nursing Pathway Management Study on Shortening of Hospitalization in Patients with Type 2 Diabetes Mellitus Zhong-yan Cheng, Hong-yi Zhang, Wen-qiao Gu (Department of Nursing, the People’s Hospital of Zhenxiong County, Yunnan Province, 657200) 【ABSTRACT】 Objective: To evaluate the effect of clinical nursing pathway management on shortening the hospitalization in patients with type 2 diabetes mellitus。Methods: A total of 60 patients with type 2 diabetes mellitus were randomly assigned to control group and experimental group, control group taking regular care, experimental group of clinical nursing pathway management. To compare two groups of patient length of hospital stay. Results: The hospital days of clinical nursing pathway management in patients with type 2 diabetes was significantly shorter than that of taking regular care. (p0.05) Conclusion: Clinical nursing pathway management is a new high quality and effective nursing management method with low-cost and shortening the hospitalization in patients with type 2 diabetes mellitus, and its usage can increase the rate of satisfaction of the patients and their families, to enhance social and economic benefits. Keywords: clinical nursing pathway management, type 2 diabetes mellitus, hospital days 2型糖尿病（Type 2 Diabetes Mellitus,T2DM）发病的两个主要因素是胰岛素抵抗（IR）和胰岛素缺陷（包括两者的相互作用）。糖尿病患者的人数随着人口老化、生活方式的改变和生活水平的提高以及诊疗技术的提高而迅速增加。我国1996年按WHO标准对全国11省市20-75岁42751人进行流行病学调查，结果发现糖尿病患病率为3.21﹪，糖尿量减低（LGT）患病率为4.76﹪。2002年WHO报告，全世界约有1.75亿糖尿病人，预测到2025年将上升到3亿。2型糖尿病患者激增是造成全世界糖尿病病人剧增的主要原因，糖尿病已成为当今严重威胁人类健康的世界性公共卫生问题 = 1 \* GB2 \* MERGEFORMAT ⑴，给患者、患者家属及社会带来了沉重的负担。为降低糖