- 作者: 洪芬芳、李麗傳、胡維恆
- 作者服務機構: *臺北市立療養院 **國防醫學院護理學研究所
- 中文摘要: The purpose of this quasi-experimental study was to explore the effects of applying clinical pathway on alcohol withdrawal patients, and variance analysis was also applied. The indicators included length of stay, medical cost, dosage of Lorazepam using, readmission rate within a month, as well as patients satisfaction and staff satisfaction. Forty-four patients for control group, forty-five patients for experimental group, and eighteen staff of treatment team were pulled by using purposive sampling at a psychiatry center. Statistic methods included mean, percentile, independent sample t-test, paired t-test , chi-square, and multiple-regression. The results showed that (1) The variances of clinical pathway for experimental group was 15.6%, specifically related to patients or family variances. (2) There were significant differences on length of stay, medical costs, dosage of Lorazepam using, with staff satisfaction (3) There was no significant difference on satisfactory level of patients for medical services and the readmission rate within a month. In summary, clinical pathway can not only reduce medical costs, improve quality of medical care, but also can increase work related satisfaction among workers.
- 英文摘要: 本研究為實驗研究,旨在探討應用臨床路徑於酒精戒斷病患之成效,以驗證實施前後在住院日數、Lorazepam 使用量、住院醫療費用、一個月內再住院率、病患服務滿意度,及醫療人員工作滿意度等差異情形,並分析實施臨床路徑之變異因素。採立意取樣於某精神科核心醫院取得病患樣本對照組四十四位與實驗組四十五位,單組醫療人員樣本十八位;所得資料以平均值、百分比、獨立樣本T 檢定、配對T 檢定、卡方與複迴歸等進行分析。研究結果顯示,實驗組實施臨床路徑發生之變異占15.6%,以病患或家屬之因素為多;兩組的住院日數、Lorazepam 使用量、住院醫療費用與醫療人員工作滿意度等呈顯著性差異,一個月內再住院率與病患服務滿意度無顯著性差異。亦即實施臨床路徑不僅能節省醫療資源浪費,降低醫療成本,而且提昇了內在顧客滿意度。
- 中文關鍵字: clinical pathway, alcohol withdrawal, length of stay, medical cost, dosage of Lorazepam using
- 英文關鍵字: 臨床路徑,酒精戒斷,住院日數,住院醫療費用,Lorazepam 使用量