Breast and Thyroid Cancer Center, Ewha Womans University College of Medicine, Seoul, Korea.
Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
Head Neck. 2018 Sep;40(9):1909-1916. doi: 10.1002/hed.25175. Epub 2018 Apr 10.
Clinical pathways have been proposed as a way to improve organizational efficiency and maximize patient outcomes. However, little is known as to whether a clinical pathway is effective for thyroid cancer.
The study subjects included 216 patients who were managed after clinical pathway implementation and 145 control patients. Length of stay, cost per patient, and nurses' satisfaction were compared in the 2 groups.
Mean length of stay was 0.8 days shorter in the clinical pathway group than in the control group (2.9 vs 3.7 days; P = .023). Cost per patient was also lower in the clinical pathway than in the control group (USD $3953.00 vs USD $4636.00; P < .001). Nurses' overall satisfaction scores improved from 71.6% before to 82.5% after implementation of the clinical pathway and their job characteristics scores increased from 61.1% to 75.0%.
Implementation of a clinical pathway for thyroid cancer can improve nurses' satisfaction with reduction of hospital stay and costs.
临床路径已被提议作为一种提高组织效率和最大化患者结果的方法。然而，对于甲状腺癌是否有效，目前知之甚少。
研究对象包括 216 名在临床路径实施后进行管理的患者和 145 名对照患者。比较两组的住院时间、每位患者的成本和护士的满意度。
临床路径组的平均住院时间比对照组短 0.8 天（2.9 天 vs 3.7 天；P =.023）。临床路径组每位患者的成本也低于对照组（3953.00 美元 vs 4636.00 美元；P <.001）。护士的整体满意度评分从实施临床路径前的 71.6%提高到实施后的 82.5%，其工作特征评分从 61.1%提高到 75.0%。
实施甲状腺癌临床路径可提高护士满意度，缩短住院时间和降低成本。
