The Quality Outcomes Of The Clinical Pathways Application For The Inpatients Of Schizophrenia

• Main Authors: Peng I Ping, 彭依萍
• Other Authors: Tsai Sing Ling/Hsiao Fei Hsiu
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/11841177798215493487

碩士 === 臺北醫學大學 === 護理學研究所 === 94 === The purposes of this study are to explore the differences in caring process and outcome among acute inpatient units with and without implementing clinical pathway for schizophrenia at medical centre and an acute inpatient unit without implementing clinical pathway for schizophrenia at psychiatric hospital. This study is a cross-sectional design. By using the purposive sampling method, 54 patients were recruited from two inpatient units at medical centre and 30 patients were recruited from one inpatient unit at psychiatric hospital. The following scales were used: the Brief Psychiatric Rating Scale (BPRS) for monitoring the changes of symptoms, Family Burden Scale for family members’ perceived caring burden, Social Function Scale for assess patients’ functional states and Satisfaction Scale for patients’ satisfaction of caring quality. The findings were as follows: (1)In the aspect of nursing process, the scores of physical assessment, psychosocial assessment and discharge planning were higher in the unit with implementing clinical pathway for schizophrenia than the units without this intervention. (2)In the aspect of nursing outcome, there was a significant difference in the length of admission. The days of admission were longer in psychiatric hospital than in medical centre. (3)There was no significant difference in changes of symptoms and of social function. (4)The significant improvement of family members’ perceived burden was found in psychiatric hospital. (5)There was no difference of patients’ perceived satisfaction of caring quality among units with and without implementing clinical pathway for schizophrenia. The conclusions of this study were that implementing clinical pathway for schizophrenia could provide comprehensive assessment and discharge planning. The results of this study could help to develop the guideline and evaluation for implementing clinical pathway for schizophrenia. Key words:schizophrenia、clinical pathway、quality of care