临床路径护理对全膝关节置换术疗效的影响

The impact of the nursing clinical pathway to the outcomes of total knee replacement

目的探索临床路径护理在全膝关节表面置换术围术期的应用对临床疗效的影响。方法以2007年1月～2009年2月人工全膝关节表面置换病人为对照者;实验组为2009年2月～2011年3月人工膝关节表面置换者实行临床路径治疗和护理。对两组术后并发症发生率,平均住院天数,住院费用,术后1～2周膝关节HSS评分,病人的满意度,进行比较和临床分析。结果实验组术后并发症、平均费用明显低于对照组,病人满意度明显高于对照组,膝关节评分术后1～2周高于对照组。结论临床路径治疗和护理可以缩短病人住院日,减少并发症的发生,病人满意度提高,达到了优质护理的目标。

Objective To investigate the impact of applications of the nursing clinical pathway in total knee replacement in the clinical outcomes.Methods The patients undergoing the total knee replacement with the nursing clinical pathway from Feb.2009 to Mar.2011（experimental group） was studied controlled with the patients undergoing the total knee replacement from Jan.2007 to Feb.2009（control group）.The frequency of the complications after operation,the average length of hospital stay,the total cost,the HSS knee scores and the satisfactions of the patients were observed.Results The frequency of complications after operation and the total cost of the experimental group was lower than that of the controls.The satisfactions of the patients and the HSS knee scores in the experimental group were much higher than that of the controls.Conclusion The clinical pathway treatment and nursing could reduce the the frequency of complications after operation,increase the satisfactions of the patients and achieve the goals of the qualitative nursing.