中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
26期
3316-3319
,共4页
田润溪%高凡%李欣%韩谦%李鸿艳%常琳
田潤溪%高凡%李訢%韓謙%李鴻豔%常琳
전윤계%고범%리흔%한겸%리홍염%상림
肩关节%关节镜%临床护理路径%围手术期
肩關節%關節鏡%臨床護理路徑%圍手術期
견관절%관절경%림상호리로경%위수술기
Shoulder joint%Arthroscope%Clinical nursing pathway%Intraoperative period
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。
目的:探討肩關節鏡圍術期患者應用臨床護理路徑的效果,併逐步改進建立適閤肩關節鏡患者的標準化護理模式。方法收集2012年1-12月住院行肩關節鏡手術未應用臨床護理路徑的45例患者作為對照組,2013年1-12月住院行肩關節鏡手術應用臨床護理路徑的44例患者作為研究組。分析兩組患者的住院時間、住院費用及患者滿意度等情況。結果對照組與研究組患者的總住院時間分彆為(7.89±3.95),(6.50±3.26)d,兩組比較差異有統計學意義(t=2.238,P<0.05)。對照組患者術前住院時間為(3.02±2.13)d,研究組為(3.08±1.36)d,兩組比較差異無統計學意義(t=0.549, P>0.05)。對照組患者術後住院時間為(3.16±2.03)d,研究組為(2.96±1.35)d,兩組比較差異有統計學意義( t=2.511, P <0.05)。對照組患者平均住院費用為(48464.31±14813.99)元,研究組為(41899.65±12292.36)元,兩組比較差異有統計學意義(t=2.272,P<0.05)。兩組患者對護理質量的滿意度比較,差異有統計學意義(χ2=6.621,P<0.01)。結論肩關節鏡患者應用臨床護理路徑能減少患者住院時間、住院費用,提高患者的滿意度,是一種切實、可行、有效的護理模式。
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 .