CAJ | 학술논문

目的：探讨肩关节镜围术期患者应用临床护理路径的效果，并逐步改进建立适合肩关节镜患者的标准化护理模式。方法收集2012年1-12月住院行肩关节镜手术未应用临床护理路径的45例患者作为对照组，2013年1-12月住院行肩关节镜手术应用临床护理路径的44例患者作为研究组。分析两组患者的住院时间、住院费用及患者满意度等情况。结果对照组与研究组患者的总住院时间分别为（7．89±3．95），（6．50±3．26）d，两组比较差异有统计学意义（t＝2．238，P＜0．05）。对照组患者术前住院时间为（3．02±2．13）d，研究组为（3．08±1．36）d，两组比较差异无统计学意义（t＝0．549， P＞0．05）。对照组患者术后住院时间为（3．16±2．03）d，研究组为（2．96±1．35）d，两组比较差异有统计学意义（ t＝2．511， P ＜0．05）。对照组患者平均住院费用为（48464．31±14813．99）元，研究组为（41899．65±12292．36）元，两组比较差异有统计学意义（t＝2．272，P＜0．05）。两组患者对护理质量的满意度比较，差异有统计学意义（χ2＝6．621，P＜0．01）。结论肩关节镜患者应用临床护理路径能减少患者住院时间、住院费用，提高患者的满意度，是一种切实、可行、有效的护理模式。
목적：탐토견관절경위술기환자응용림상호리로경적효과，병축보개진건립괄합견관절경환자적표준화호리모식。방법수집2012년1-12월주원행견관절경수술미응용림상호리로경적45례환자작위대조조，2013년1-12월주원행견관절경수술응용림상호리로경적44례환자작위연구조。분석량조환자적주원시간、주원비용급환자만의도등정황。결과대조조여연구조환자적총주원시간분별위（7．89±3．95），（6．50±3．26）d，량조비교차이유통계학의의（t＝2．238，P＜0．05）。대조조환자술전주원시간위（3．02±2．13）d，연구조위（3．08±1．36）d，량조비교차이무통계학의의（t＝0．549， P＞0．05）。대조조환자술후주원시간위（3．16±2．03）d，연구조위（2．96±1．35）d，량조비교차이유통계학의의（ t＝2．511， P ＜0．05）。대조조환자평균주원비용위（48464．31±14813．99）원，연구조위（41899．65±12292．36）원，량조비교차이유통계학의의（t＝2．272，P＜0．05）。량조환자대호리질량적만의도비교，차이유통계학의의（χ2＝6．621，P＜0．01）。결론견관절경환자응용림상호리로경능감소환자주원시간、주원비용，제고환자적만의도，시일충절실、가행、유효적호리모식。
Objective To investigate the application of clinical nursing pathway in perioperative care of shoulder arthroscopic surgery , in order to improve and establish the standard nursing model .Methods Totals of 45 patients admitted from January 2012 to December 2012 were served as the control group , without clinical nursing pathway.Totals of 44 patients from January 2013 to December 2013 were served as the study group with clinical nursing pathway .The hospital stay , medical expenses and patients'satisfaction were compared between the two groups .Results After appling the clinical nursing pathway , the hospital stay of the control group and the study group were (7.89 ±3.95) and (6.50 ±3.26) days.There was a significant difference between the two groups (t =2.238, P <0.05).The hospital stay of the control group and the study group before the operation were (3.02 ±2.13) and (3.08 ±1.36) days, with no significant difference (t=0.549, P>0.05). The hospital stay of the control group and the study group after the operation were (3.16 ±2.03) and (2.96 ± 1.35) days, with a statistically significant difference ( t=2.511, P<0.05).The medical expenses of the control group and the study group were (48 464.31 ±14 813.99) and (41 899.65 ±12 292.36) yuan.There was a significant difference between the two groups (t=2.272, P<0.05).The satisfaction between the two groups had a significant difference (χ2 =6.621, P<0.01).Conclusions The application of clinical nursing pathway can effectively reduce hospital duration , medical cost and improve satisfaction of patients with shoulder arthroscopic surgery , and it is a practical , feasible and effective nursing model .