title: [Application of standardization of medical care model for chronic mild lead poisoning].
abstract: OBJECTIVE
  To standardize the treatment and evaluate the clinical application effectiveness of clinical pathway (CP) in chronic mild lead poisoning.
  
  
  METHODS
  60 patients with chronic mild lead poisoning hospitalized from Jan. 2014 to Dec.2014 were enrolled for the study group, 60 patients with chronic mild lead poisoning hospitalized from Jan.2013 to Dec.2013 were enrolled for the control group. The study group were cared according to clinical pathway, the control group received routine therapy; the clinical application effectiveness were compared between the two groups.
  
  
  RESULTS
  No adverse drug reactions occurred in both groups. The curative ratio was significantly higher in the study group than in the control group (96.7% vs 86.0%, P<0.05) , the rate of patients' satisfaction to medical care significantly higher in the study group (98.3% vs 88.3%, P<0.05) , the rate of health education awareness higher in the study group (95.0% vs 81.7%, P<0.05) , the course of treatment shorter in the study group (3.2±0.6 vs 3.4±0.7, P<0.05) , the medical cost less in the study group (5773.5 yuan±1242.1 yuan vs 6354.7 yuan±1177.0 yuan, P<0.05) , the length of hospitalization was shorter in the study group (21.9 d±6.7 d vs 24.6 d±7.9 d, P<0.05). The variation rate of clinical pathway was 13.3% in clinical pathway group.
  
  
  CONCLUSIONS
  The implementation of clinical pathway could improve the curative ratio, satisfaction, and health education awareness. The course of treatment, length of hospital stay and costs of hospitalization in the study group could be obviously shorter and less, and there is a little variation rate in the clinical pathway.
authors: Department of Occupational Disease, Hunan Prevention and Treatment Center for Occupational Disease, Changsha 410007, China.
authors: Y
authors: Y
authors: Lai
authors: B X
authors: BX
authors: Zeng
authors: J
authors: J
authors: Yuan
authors: Y H
authors: YH
authors: Zhang
authors: L
authors: L
authors: Huang
authors: F K
authors: FK
authors: Tang
authors: L
authors: L
authors: Hong
authors: C T
authors: CT
authors: Huang
mesh_terms: D002908:Chronic Disease; D003365:Costs and Cost Analysis; D019091:Critical Pathways; D006760:Hospitalization; D006801:Humans; D007855:Lead Poisoning; D012015:Reference Standards