老年膝关节置换术患者围手术期护理风险管理的研究  

Study on nursing risk management of the gerontal patient underwent operation of total knee replacement in perioperative period

作　　者：蒋海兰[1] 刘冰[1] 刘花林[1] 张翠娜[1] 

机构地区：[1]解放军第三○九医院骨科,北京100091

出　　处：《中华现代护理杂志》2010年第30期3601-3604,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨老年膝关节置换术患者围手术期的护理风险及管理,以降低护理风险的发生.方法 将110例老年膝关节置换术患者根据住院时间顺序分为对照组48例和观察组62例,对照组按传统关节置换术常规护理;观察组采用风险流程管理对护理风险进行预防.结果 两组患者在出院前1 d比较护理缺陷（x2=4.21,P＜0.05）、患者满意度（t=11.78,P＜0.01）、膝关节评分（t=20.09,P＜0.01）、术后并发症发生率（t=5.30,P＜0.01）、平均住院日（t=8.01,P＜0.01）、护理文书合格率（t=7.70,P＜0.01）,差异均有统计学意义.结论 对老龄关节置换术患者在围手术期进行流程化风险管理,可以降低护理缺陷、术后并发症发生和平均住院日,提高患者满意度、膝关节功能活动度和护理文书合格率.Objective To explore the nursing risk and management of the gerontal patient underwent operation of total knee replacement in perioperative period, and decrease the nursing risk. Methods 110 gerontal patients underwent operation of total knee replacement were divided into the experiment group and the control group according to the operation time. Patients in control group were given routine nursing cares and the ones in experiment group received nursing risk interventions based on the risk procedure management. Results The two groups had obvious difference in the nursing defect rates （ x2 = 4.21, P ＜ 0. 05 ）, the degree of satisfaction （t =11.78,P ＜0. 01 ）, the cost of HSS （t = 20.09,P＜0.01）, and the rate of operation-correlated complications （t = 5. 30, P ＜0.01）, average stay in hospital （t =8.01, P ＜0. 01 ）, and the qualified rate of nursing cases （t =7. 70, P ＜ 0. 01 ） one day before leaving the hospital. Conclusions Risk procedure management in the gerontal patients underwent operation of total knee replacement in perioperative period could reduce the occurrence of nursing faults, the complications after operation and the length of stay, and raise the satisfaction degree, the function of knee joints and the qualified rate of nursing cases.

关 键 词：膝关节置换术 围手术期 护理 风险管理 

分 类 号：R473.6[医药卫生—护理学]