摘要
目的对在人工髋关节置换术围术期护理当中应用临床护理路径的价值进行分析和研究。方法方便选择该院收治的实施人工髋关节置换术的患者共计120例作为该次研究的纳入对象,选取时间段为2018年1月-2019年3月,按照硬币法将这些患者划分为常规护理组和护理路径组,每组60例。采用常规护理的方式对常规护理组予以护理,在此基础上,采用临床护理路径对护理路径组予以护理。在护理工作结束之后,针对两组患者的护理效果进行分析和比较。结果常规护理组的住院时间为(19.3±4.8)d,疼痛评分为(2.7±0.5)分,髋关节功能评分为(83.5±3.3)分,护理路径组的住院时间为(13.4±3.5)d,疼痛评分为(1.8±0.2)分,髋关节功能评分为(90.8±3.8)分。护理路径组的住院时间、疼痛评分、髋关节功能评分均明显优于常规护理组,差异有统计学意义(t=17.258、3.746、4.136,P<0.05)。常规护理组的护理满意度指标达80.0%,护理路径组的护理满意度指标达96.7%。护理路径组的护理满意度明显高于常规护理组,差异有统计学意义(χ^2=7.946,P<0.05)。结论在人工髋关节置换术的围术期护理中应用临床护理路径具有十分显著的效果,其能够有效地促进患者的术后恢复,降低其住院时间,而且患者的护理满意度更高。
Objective To analyze and study the value of applying clinical nursing pathways in the perioperative nursing of artificial hip joint replacement.Methods A total of 120 patients who underwent artificial hip arthroplasty in the hospital were convenient selected as the subjects of this study.The period of time was from January 2018 to March 2019.These patients were divided into routine care groups by the coin method and nursing path group,there were 60 cases in each group.The routine nursing group was given the nursing care based on this method.Based on this,the clinical nursing path was used for the nursing care group.After the nursing work was completed,the nursing effects of the two groups of patients were analyzed and compared.Results The length of stay in the conventional care group was(19.3±4.8)d,the pain score was(2.7±0.5)points,the hip function score was(83.5±3.3)points,and the length of stay in the nursing pathway group was(13.4±3.5)d.The pain score was(1.8±0.2)points and the hip function score was(90.8±3.8)points.The length of hospital stay,pain score,and hip function score of the nursing path group were significantly better than those of the conventional nursing group,and the difference was statistically significant(t=17.258,3.746,4.136,P<0.05).The nursing satisfaction index of the conventional nursing group reached 80.0%,and the nursing satisfaction index of the nursing path group reached 96.7%.The nursing satisfaction of the nursing path group was significantly higher than that of the conventional nursing group,and the difference was statistically significant(χ^2=7.946,P<0.05).Conclusion The application of clinical nursing pathway in perioperative nursing of artificial hip arthroplasty has a very significant effect.It can effectively promote the postoperative recovery of patients,reduce their length of hospital stay,and have higher patient satisfaction.
作者
王彬
WANG Bin(Five Wards of Yantai Yeda Hospital,Yantai,Shandong Province,264006 China)
出处
《中外医疗》
2020年第13期162-164,共3页
China & Foreign Medical Treatment
关键词
人工髋关节置换术
围术期
临床护理路径
疼痛
住院时间
护理满意度
Artificial hip replacement
Perioperative period
Clinical nursing pathway
Pain
Hospital stay
Nursing satisfaction
