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1、山西医科大学硕士学位论文子宫肌瘤子宫切除术临床路径研究姓名：郝丽霞申请学位级别：硕士专业：社会医学与卫生事业管理指导教师：刘越泽2011-06-05AstudyonclinicalpathwayofmyomaofuterushysterectomyAbstractObjective:Byformulatingascienceplan(form)onmyomaofuterushysterectomypathway,implement,toassessitseffectonmyomaofuterushysterectomypathwaymodeindeductingtheaverage
2、hospitalizeddaysandhospitalizationcosts,improvingthesatisfactionofpatients,standandingandexcellentthemedicalcareprogrammers,improvingthequalityofmedicalandnursecare,improvinghospital7socialandeconomicbenefit.Methods:Basedonaretrospectivesurveyon109patientsofmyomawhoreceiveduterushysterectomyin
3、aFirstClassofthethirdGradeHospitalinShanxiprovinceduringJanuary2008andDecember2009,weformulatedtheformofmyomaofuterushysterectomypathwayandcomputedthestandardhospitalizeddaysinstatisticalandexpertconsulationmethodonthebasisofhospitalfclinicalsituation.Onehundredandonecaseswhoweretreatedwithmyo
4、maofuterushysterectomypathwayandacontrolgroupofonehundredandonecasesfromJanuary2010toDecember2010werestudiedbycomputationanalysisandthevariancethathappenedduringmyomaofuterushysterectomypathwaywasalsoanalyzed.Differentstatisticmethodsincludingdocumentreading,interview,SWOTanalysis>evidence-bas
5、edpolicyanalysisandcomprehensivequalitymanagementwereusedinmyomaofuterushysterectomypathwayfromformulationandpractice.Thegeneraldescriptivestatistics,T-test,chi-spuaretestandranksuntestmethodswereusedtoassesstheeffectofmyomaofuterushysterectomypathway.Results:Aftercomparisonofthecaseswhoweretr
6、eatedbymyomaofuterushysterectomypathwaywithacontrolgroupofthestudyindicatesthatthenumbersofin-hospitaldays,thedaysbetweenadmissionandoperationreducedinthegroupofimplementation;Theaveragecostofthetotalexpenseinhospital,thecostofdrug,thecostofsurgicaloperation,thecostofexamination,thecostofaccom
7、odationandtheothercostsalsowerereducedinthegroupofimplementation.Therewerethesignificantstatisticaldifferencesintheindexofthedaysinhospital,thetotalexpenseinhospital,theexpenseofdrug,theexpenseofbedandtheotherexpense(p<0.05);Intheassess
