S状結腸切除術におけるクリティカル・パス適用の効果

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  • Sジョウ ケッチョウ セツジョジュツ ニ オケル クリティカル パス テキヨウ ノ コウカ
  • The Effect of the Implementation of Critical Path in the Treatment Process for Sigmoid Colon Cancer

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The effects of critical path is to standardize the patient care process, shorten the length of the hospital stay, and satisfy patients with full information on the care schedule. In our surgical department, critical path for sigmoid colon cancer has been applied since 1998, by which surgeons and nurses understand the treatment schedules of each sigmoid colon cancer patient as common knowledge. To evaluate its effect, various parameters were compared between nine cases who were operated on between 1999 - 2000 and treated using　the critical path (post-path group), and nine cases who were operated on between 1992 - 1994 and treated without path (pre-path group). As a result, the average hospital stay has significantly decreased from 30.6 to 21.9 days, and the duration of antibiotic administration from 7.5 to 4.4 days in the post-path group. Furthermore, the removal of the nasogastric tube, and the postoperative oral water intake were significantly earlier in the post-path group. With respect to the standardization of the care process, the dispersions in each parameter of the two groups were compared using the F test. Among seven out of thirteen parameters, the dispersion in the post-path group was significantly smaller, so standardization seems to be accomplished with the implementation of critical path. Critical path is a powerful tool with which to improve the efficiency and standardization of sigmoid cancer patient management in hospital care.

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