临床路径在股骨颈骨折患者治疗中的应用

Application of clinical pathways in the treatment of the patients with femoral neck fracture

目的观察临床路径在股骨颈骨折治疗中的应用。方法将2011年7月至2013年6月收治的股骨颈骨折行手术治疗176例为对照组,2013年7月至2015年6月收治的股骨颈骨折行手术治疗的204例为观察组。对照组采用整体护理,观察组在对照组的基础上实施临床路径,分析两组的髋关节功能、住院时间、住院费用、平均药费、满意度及患2者对疾病相关内容掌握情况。结果观察组的髋关节功能评分的优良率为92.2%,明显高于对照组的85.2%(χ=4.615,P<0.05);住院时间明显短于对照组(P<0.01),住院费用与平均药费均低于对照组(均P<0.01);患者对医疗护理质量的满意度以及对疾病相关内容掌握情况均优于对照组(均P<0.01)。结论在股骨颈骨折治疗中实施临床路径可有效提高患者的髋关节功能,降低住院时间与费用,提高患者对医疗护理质量的满意度及疾病相关内容掌握程度。

Objective To investigate the feasibility and effect of clinical pathway in the treatment of femoral neck fracture. Methods A total of 176 patients with femoral neck fractures treated in our hospital from July 2011 to June 2013 were selected as Control Group whole a total of 204 patients with femoral neck fractures treated from July 2013 to June 2015 were selected as Observation Group. Control Group received holistic nursing while Observation Group was treated with clinical path based on the treatment for Control Group. The hip joint function, hospitalization duration, hospitalization cost, average drug cost, satisfaction and the master of the disease-related content by patients of the two groups were analyzed. Results The Observation Group had a significant higher excellent rate of hip joint function scoring （92.2%） than Control Group （85.2%, χ^2=4.615, P〈0.05）, a significant hospitalization duration than Control Group （P〈0.05）, and a significant lower hospitalization cost and average drug cost than Control Group （P〈0.05）. The satisfaction rate of the patients in Observation Group and their master of the disease-related content was better than that in Control Group （P〈0.05）. Conclusion In the treatment of femoral neck fractures, the implementation of clinical pathway can effectively improve the hip joint function, reduce the hospitalization duration and cost, improve the satisfaction of the patients with the quality of medical nursing and their master of the disease-related content.