单病种质量控制与整体护理在膝关节镜手术患者中的应用

Application of quality control of single specific disease and holistic nursing care in the treatment of patients with knee arthroscopic surgery

目的：探讨单病种质量控制与整体护理在膝关节镜手术患者中的应用效果。方法：将2009年1～5月膝关节镜手术患者40例作为对照组，给予传统治疗和护理；将2009年6～10月膝关节镜手术患者40例作为实验组，给予单病种质量控制与整体护理。比较两组治疗、护理效果。结果：两组术后首次CPM锻炼时间、术后首次下床时间、术后6周膝关节活动度、住院费用、住院天数比较差异有统计学意义（P〈0．05）。结论：单病种质量控制与整体护理应用于膝关节镜手术患者可降低住院费用、缩短住院时间、促进康复，值得临床推广应用。

Objective： To investigate the application effect of quality control of single specific disease and holistic nursing care in the treatment of patients with knee arthroscopic surgery. Method： 40 patients who underwent knee arthroscopic surgery from January to May 2009 were taken as control group and another 40 patients who received knee arthroscopic surgery from June to October 2009 were taken as experimental group. The patients in the control group were given conventional treatment and nurs- ing care and the patients in the experimental group were given quality control of single specific disease and holistie nursing care. The effect of treatment and nursing care was compared between the two groups. Results ： There were statistically significant differ- ences in the comparison of the time of the first postoperative CPM exercise, the time to get out of bed for the first time after sur- gery, the degree of knee joint movement 6 weeks after surgery, hospitalization costs and days of hospitalization in the patients be- tween the two groups （ P 〈 0. 05 ）. Conclusion： The implementation of quality control of single specific disease and hnlistic nursing care in the knee arthroscopic surgery can reduce hospitalization costs, shorten hospitalization days and promote patient＇s rehabilitation, and it can be widely applied to clinical practice.