临床路径在膝关节镜手术患者中的应用研究  

The research of applying clinical pathway on patients with knee arthroscopy

作　　者：成翼娟[1] 戴红霞[2] 宁宁[1] 

机构地区：[1]四川大学华西医院护理部,成都市610041 [2]广东省人民医院护理部

出　　处：《中华护理杂志》2004年第7期489-491,共3页Chinese Journal of Nursing

摘　　要：目的　研究临床路径 (CP)应用于膝关节镜手术患者的实施效果。方法　采用不同病例前后对照研究 ,对照组 30例实施传统治疗和护理 ,实验组 30例实施CP ,将两组的治疗、护理效果进行对比。结果　术后首次功能锻炼时间对照组 13.17h ,实验组 6 .5h(U =6 9.0 0 ,P <0 .0 5 ) ;术后首次下床时间对照组 2 2 .79h ,实验组 7.0h(U =32 .0 0 ,P <0 .0 5 ) ;术后 6周膝关节活动度对照组 10 7.78,实验组 12 4 .4 4 (t=- 2 .38,P <0 .0 5 ) ;住院费用对照组 (4 15 8.0 3± 96 9.0 0 )元 ,实验组 (36 5 4 .4 1± 5 0 7.0 0 )元 (t=2 .5 2 ,P <0 .0 5 ) ;住院天数实验组缩短到 4d(χ2 =13.5 9,P <0 .0 5 ) ;两组术后并发症和预后比较无统计学差异。结论　在保证医疗护理质量的前提下 ,CP应用于膝关节镜手术患者能降低住院费用 ,缩短住院时间 ,可以在我国推广应用。Objective To study the outcome by applying clinical pathway on patients with knee arthro-scopy.Methods A quasi-experimental study was adopted. There were 30 cases in each group. Traditional treatment was applied in control group. Clinical pathway was applied in experimental group.Results After applying clinical pathway, the initiation of postoperative function exercise was shorten from 13.17 to 6.50 hours ( P <0.05). The initiation of postoperative standing decreased from 22.79 to 7.00 hours ( P <0.05). Patients showed improvement in the degree of knee joint movement at six weeks postoperative ( P <0.05). The hospital costs were decreased from $4158.03±969 to$3654.41±507( P <0.05). The days of hospitalization were shorten to four days.Conclusion The clinical pathway guaranteed the quality of medical and nursing care. It's worth to widly use in China.

关 键 词：临床路径 膝关节镜 手术治疗 功能锻炼 CP 临床护理 

分 类 号：R473.6[医药卫生—护理学] R684[医药卫生—临床医学]