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KMID : 0614820000060010123
Journal of Korean Academy of Nursing Administration
2000 Volume.6 No. 1 p.123 ~ p.134
The Development of the Critical pathway for hysterectomy patients and its effect
±è°æÈñ/Kim, Kyung Hee
¼­¿µ½Â/Å¿µ¼÷/ÀÌÈ­ÀÚ/Àü¼º¼÷/Seo, Young Seung/Tae, Young Sook/Lee, Hwa Ja/Jeon, Sung Sook
Abstract
This study intended to analyze the effectiveness to obl;ain by developing the critical pathway presentee as the method to improve the quality-betterment and cost effectiveness through the continuou:> and consistent patient management for the hysterectomy patient and applying it to the real practice.
This study was designed to develop and effect the critical pathway for hysterectomy patients in the way to be possible the intergrated in patient management.
It was adopted the process of seven phase to develop a critical pathway. To analyze the application effect of the developed critical pathway. this author offered health care service applying the critical pathway to the hysterectomy patient from .July. 20 to Oct. 19. 1999. The study method had been done by investigating the experimental group and control group through the questionnaire on 40 patients who had been inpatient hysteiectomy.
Dependent variables were measured by modified fi~om satisfaction, and cost and length of hospital stay. The data anlyzed by fiequency. x2-test, t-test.
The iesu]ts of this studv was as follows:
1. It was decided that the vertical line of the critical pathway vas made up of eight items such as monitoring/assessment. treatment. activity.medication. consult. Lab test. diet. patient teaching and horizontal line was 7days fiom admission to discharge.
2. After the verifying the validity of the expert group about the critical pathway, the horizontal line was amended from hospitalization to five postoperative days and taking their consensus. so-me contents of the horizontal line was amended and deleted.
3. There was no significant differences in the experimental group and control g1oup in the satisfaction. and significant differences in the cost. the length of hospital stay.
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