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老年2型糖尿病并发白内障患者门诊早期干预临床路径研究 预览 被引量:6

Study of Early Intervention Clinic Pathway on Elderly Type 2 Diabetes Mellitus Complicated with Cataract in Outpatients Clinic
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摘要 目的对患有2型糖尿病(T2DM)并发白内障的老年患者进行早期干预,探讨其在入院时直接进入临床路径的可行性。方法对医院门诊筛查出的30例患有2型糖尿病并发白内障的患者(门诊处理组,n=30),按照门诊早期干预临床路径的要求,控制血糖至正常范围,然后收入住院并按照白内障临床路径实施标准化处理。对照同期30例住院后术前检查发现患有2型糖尿病,经降糖治疗控制症状后行超声乳化白内障摘除联合人工晶体植入术患者(住院处理组,n=30)。比较两组之间术前等待时间、平均住院天数、住院费用和患者满意度的差别。结果门诊处理组术前等待时间、平均住院天数、平均住院费用普遍低于住院处理组(P〈0.05),患者满意度明显高于住院处理组(P〈0.01)。结论尽早发现并发白内障的2型糖尿病患者,按照糖尿病治疗原则对其实施入院前干预,待血糖控制后进入临床路径,可减少患者术前等待时间,缩短住院天数,节约住院费用,提高患者及其家属的满意度。 Objective To early intervention on elderly type 2 diabetes mellitus complicated with cataract in outpatients clinic, and explore the feasibility of entering clinic pathway (CP) directly at admission. Method 30 cataract outpatients ( Outpatient Group, n = 30 ) with type 2 diabetes mellitus that examined through outpatient clinic health examination, entered the cataract CP and had a encuted phacoemulsifieation combined with intraocular lens implantation after control of blood glucose ( BG ) by outpatient clinic treatment. 30 inpatients ( Inpatient Group, n = 30 ) with type 2 diabetes mellitus found in preoperative examination, received an encuted phaeoemulsification combined with intraocular lens implantation after medical treatment inpatient. To compare length of preoperative stays, average length of stay, average hospital cost and patients" satisfaction degree of the outpatient group with that of inpatient group. Result The length of preoperative stay, average length of stay and average cost of patients in outpatient group were generally lower than those in inpatient group ( P 〈 0. 05 ). Patients in outpatient group were significantly satisfied with their hospital experience than the inpatients group ( P 〈 0.01 ). Conclusion Through OPC health examination, patients complicate with T2DM can be found as early as possible, and receive DM treatment. After control of BG, they can enter the CP. That can decrease preoperative stay and total length of hospitalization, reduce patients" sum cost in hospital, enhance satisfaction degree of patients and their family numbers, while maintaining or improving medical quality given to patients.
作者 易莲 张艳君 王莎 赵瑞芳 李书敏 武一平 YI Lian, ZHANG Yanjun, WANG Sha, et al (Department of Inpatients, First Hospital of Handan City, Handan, Hebei, 056002, China)
机构地区 邯郸市第一医院
出处 《中国卫生质量管理》 2013年第5期28-30,共3页 Chinese Health Quality Management
关键词 白内障 2型糖尿病 临床路径 早期干预 Cataract Type 2 Diabetes Mellitus Clinic Pathway Early Intervention
作者简介 通讯作者:张艳君 通讯作者:张艳君:邯郸市第一医院住院处主任E—mail:hd_zyj@126.com
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