临床护理路径在髋关节置换围术期中的应用效果  

Application effect of clinical nursing pathway in hip replacement during perioperative period

作　　者：范静宜[1] 

机构地区：[1]山东省日照市人民医院,山东日照276826

出　　处：《中国当代医药》2014年第6期110-111,114,共3页China Modern Medicine

摘　　要：目的探讨临床护理路径在髋关节置换围术期中的应用效果。方法选择80例患者,将其随机分为观察组和对照组两组,每组各40例,观察组实施本研究护理临床路径,入院第1天行健康宣教,入院后2~3 d,完善术前准备,术后行心理指导、饮食指导、康复治疗指导等,出院后行定期电话随访及出院指导;对照组则实施常规护理。比较两组患者满意度及总住院天数,并分析两组患者掌握疾病相关知识与技能情况。结果观察组的护理满意率为85.0%,显著高于对照组的47.5%（P〈0.05）;观察组的住院天数为（14.3±2.1）d,明显少于对照组的（21.3±5.1）d（P〈0.05）;观察组对护理相关知识的掌握优良率为85.0%,显著高于对照组的60.0%（P〈0.05）。结论对髋关节置换术患者进行护理临床路径能更好地提高治疗效果,提高护理满意度,缩短患者住院天数。Objective To discuss the application effect of clinical nursing pathway in hip replacement during perioperative period. Methods 80 patients were selected and they were evently divided into two groups in randomly.In the observation group,the clinical nursing pathway was implemented.To be specific,there were health education in the first day of hospitalization.Completion of preoperative preparations in the second and third days,guidance for psychology,dietary and rehabilitation after surgery,and discharge instruction and telephone follow up at regular intervals after discharging from hospital.In the control group,the regular nursing was carried out.The patient′s satisfaction and total hospital stay were compared and grasp of relevant knowledge and skill of the disease by patients were analyzed. Results In the observation group,the nursing satisfaction rate reached 85.0%,which was greatly higher than that of the control group（47.5%）（P0.05）.The hospital stay in the observation group was（14.3±2.1）d,which was shorter than that of the control group [（21.3±5.1）d]（P0.05）.In the observation group,the excellent and good rate of grasping relevant nursing knowledge and skills was 85.0%,which was remarkably higher than that of the control group（60.0%）（P0.05）. Conclusion For patients with hip replacement,application of clinical nursing pathway can greatly improve the therapeutic effect and nursing satisfaction as well as shorten the hospital stay.

关 键 词：临床护理路径 髋关节置换 围术期 

分 类 号：R473.6[医药卫生—护理学]