优化骨科护理路径在全髋关节置换术中的应用效果分析

Optimization of Orthopedic Care Path in the Application of Total Hip Arthroplasty

目的 对全髋关节置换术两种护理方式的应用临床效果进行对比分析,建立专科特色护理模式。方法 抽选2014年3月~2015年3在院就诊治疗的需要进行全髋关节置换的患者共计50例,以随机加自愿原则分为优化路径组25例和标准路径组25例。对优化路径组进行优化后临床路径护理方式进行护理,对标准路径组进行常规临床路径护理方式进行护理。观察对比两组患者治疗前后Harris评分、患者满意度、并发症发生率。结果 术后2、4个月Harris评分优化路径组高于标准路径组,差异有统计学意义（P〈0.05）。优化路径组术后并发症发生率24%低于标准路径组48%。优化路径组护理满意度92%高于标准路径组76%。结论 以优化后临床路径进行护理能够有效降低术后并发症的发生率、提高患者满意度和生存质量,减少患者的住院天数和费用,增加患者的周转率,取得良好的经济效益和社会效益。

Objective To apply clinical results of two kinds of care approach of total hip arthroplasty, the establishment of special feature care model. Methods Decimated from March 2014 to March 2015 requiring hospital treatment totaled 50 cases of patients undergoing total hip replacement to voluntary principles into stochastic optimization path 25 cases and 25 cases of the standard path group. Clinical nursing care approach path after path optimization group to optimize the standard path group for routine clinical care path approach to care. We observed two groups of patients before and after comparison harris scores, patient satisfaction, and complication rates. Results After 2, 4 months Harris score higher than the standard set of optimal path path group, the difference was staiistically meaning （ P 〈 0.05 ） . Optimal path postoperative complication rate was 24% lower than the standard path group 48%. Nursing path optimization group satisfaction 92%, higher than the standard path group 76%. Conclusion The optimized clinical pathway for care can effectively reduce the incidence of postoperative complications and improve patient satisfaction and quality of life, reduce the patient＇s length of hospital stay and costs and increase the turnover rate of the patient, and achieved good economic and social benefits .