Application of clinical pathway in preparation of autoloqous stem cell transplantation

Abstract

Objective To investigate the effect of clinical pathway implementation in the preoperative preparation of autologous blood stem cell transplantation. Methods 30 patients who would received autologous blood stem cell transplantation were divided into clinical pathway group and traditional group, each group had 15 cases. Patients in clinical pathway group were given clinical pathway, and traditional group were given the traditional method of preoperative preparation. Hospital stay, hospital charge, management of health knowledge, satisfaction rate, depressed and anxious were compared. Results Hospital charge in clinical pathway group was (100972 ±261 ) yuan,and (126374±306) yuan in traditional group,there was statistically different(t =4. 48,P ＜0. 05). In clinical pathway group about 93.3％ patients manage the health knowledge well, and the satisfaction rate was 86. 6％ ,both were higher than in traditional group 46.6％ ,33.3％ (x2 =9.3,8.7;P ＜0. 05) ; preparation time and the incidence of complication were lower in clinical pathway group ( P ＜ 0. 05 ). Conclusions The clinical pathway provides more effective guidance, it can improve patients' satisfaction, shorten preoperative preparation time, save hospitalization charge, reduce complications and improve the quality of care. Key words: Clinical pathway; Autologous stem cell transplantation; Preoperative preparation