中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2010年
30期
3601-3604
,共4页
蒋海兰%刘冰%刘花林%张翠娜
蔣海蘭%劉冰%劉花林%張翠娜
장해란%류빙%류화림%장취나
膝关节置换术%围手术期%护理%风险管理
膝關節置換術%圍手術期%護理%風險管理
슬관절치환술%위수술기%호리%풍험관리
Total knee replacement%Perioperative period%Nursing%Risk management
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.
目的 探討老年膝關節置換術患者圍手術期的護理風險及管理,以降低護理風險的髮生.方法 將110例老年膝關節置換術患者根據住院時間順序分為對照組48例和觀察組62例,對照組按傳統關節置換術常規護理;觀察組採用風險流程管理對護理風險進行預防.結果 兩組患者在齣院前1 d比較護理缺陷(x2=4.21,P＜0.05)、患者滿意度(t=11.78,P＜0.01)、膝關節評分(t=20.09,P＜0.01)、術後併髮癥髮生率(t=5.30,P＜0.01)、平均住院日(t=8.01,P＜0.01)、護理文書閤格率(t=7.70,P＜0.01),差異均有統計學意義.結論 對老齡關節置換術患者在圍手術期進行流程化風險管理,可以降低護理缺陷、術後併髮癥髮生和平均住院日,提高患者滿意度、膝關節功能活動度和護理文書閤格率.
목적 탐토노년슬관절치환술환자위수술기적호리풍험급관리,이강저호리풍험적발생.방법 장110례노년슬관절치환술환자근거주원시간순서분위대조조48례화관찰조62례,대조조안전통관절치환술상규호리;관찰조채용풍험류정관리대호리풍험진행예방.결과 량조환자재출원전1 d비교호리결함(x2=4.21,P＜0.05)、환자만의도(t=11.78,P＜0.01)、슬관절평분(t=20.09,P＜0.01)、술후병발증발생솔(t=5.30,P＜0.01)、평균주원일(t=8.01,P＜0.01)、호리문서합격솔(t=7.70,P＜0.01),차이균유통계학의의.결론 대노령관절치환술환자재위수술기진행류정화풍험관리,가이강저호리결함、술후병발증발생화평균주원일,제고환자만의도、슬관절공능활동도화호리문서합격솔.
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.
