코뼈골절 환자에서 표준진료지침의 개발과 적용

초록

Purpose: The aim of this study is to develope and apply the critical pathway to the nasal bone fracture patients and to elucidate its effect. Methods: Critical pathway (CP) sheet and questionnaire were developed by team approach. CP were applied to 30 nasal bone fracture patients (CP group) from July 2001 to November 2001. Days of hospitalization, charges for hospitalization, bed turnover rate of CP group were compared to that of the 30 patients of same disease who were treated by conventional trait (control group). Results: Days of hospitalization of the CP group (4.20 day) were significantly shorter than that of control group (6.21 day). Charges for hospitalization of the CP group (492,106 won) were significantly lower than that of control group (678,376 won). Bed turnover rate of CP group (2.5) were higher than that of control group. The patient satisfaction rate for the degree of kindness of the medical personnel, explanation of the operation procedure, operation charge, days of hospitalization were all affirmative. Conclusion: CP we developed for nasal bone fracture definitely improved the quality of medical service. CP should be developed for other facial trauma patients. Key words: Critical pathway, nasal bone fracture