당뇨병 표준진료지침 적용 효과에 관한 연구

신미옥; 서신원; 송복례; 김경희; 윤건호; 유양숙; 김희승

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자료유형: 학술저널

저자정보: 신미옥 (가톨릭대학교 강남성모병원 간호부) 서신원 (가톨릭대학교 강남성모병원 간호부) 송복례 (가톨릭대학교 강남성모병원 간호부) 김경희 (가톨릭대학교 강남성모병원 간호부) 윤건호 (가톨릭대학교 내과학교실) 유양숙 (가톨릭대학교 간호대학) 김희승 (가톨릭대학교 간호대학)

저널정보: 한국의료질향상학회 한국의료질향상학회지 한국의료질향상학회지 제7권 제1호

발행연도: 2000.1

수록면: 60 - 70 (11page)

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Background : The aim of this study was to examine the effectiveness of the critical pathway to diabetic patients who were admitted in the hospital. Methods : For establishment of critical pathway for diabetic patients, we organized the multidisciplinary care team. During 5 months, 31 diabetic inpatients were applied the critical pathway and the results were compared with 11 diabetic inpatients who were treated with conventional way. We assessed the patients satisfaction, knowledge on the disease, compliance of medical regimen, length of stay(LOS) and hospital cost. We used the computer program SAS for statistical analysis. Data were summarized with mean, and analyzed using t-test repeated measures ANOVA and Wilcoxon rank sum test. Results : Length of stay(LOS) was remarkably shortened in critical pathway group compared with the conventional treatment group($7.6{\pm}1.23$ vs $12.0{\pm}4.73$, p<0.000). Although LOS was significantly shortened in critical pathway group, patients satisfaction was much higher than conventional treatment group. There were no significant difference of knowledge on the disease, compliance of medical regimen and blood glucose level between two groups at discharge. Hospital cost of each patients also significantly decreased in critical pathway group(890,000 won vs 1,280,000 won, p<0.05). Conclusion : These results showed that establishment of critical pathway for diabetic inpatients with team approach is the one of the way to improve the quality of diabetic patients management and to enhance the efficiency of hospital management.

#Critical pathway #Length of stay #Knowledge #Compliance #Patient satisfaction

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