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目的探讨临床护理路径在行膝关节置换术患者中的应用效果。方法选取徐州医学院附属医院2015年收治的行膝关节置换术患者100例,随机将患者分为试验组与对照组,各50例。试验组患者给予临床护理路径干预,对照组患者给予常规护理,比较两组患者护理前后纽约特种外科医院膝关节置管术功能量表(HSS)评分、Katz指数、手术时间、住院时间、知识知晓率、并发症发生率及护理满意度。结果护理前两组患者HSS评分、Katz指数比较,差异无统计学意义(P>0.05);护理后试验组患者HSS评分、Katz指数高于对照组,差异有统计学意义(P<0.01);护理后两组患者HSS评分、Katz指数高于护理前,差异有统计学意义(P<0.01)。试验组手术时间、住院时间短于对照组,知识知晓率高于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。试验组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论与传统护理相比,临床护理路径临床护理路径在行膝关节置换术患者中的应用效果明显,可提升患者日常生活能力,缩短住院时间,降低并发症发生率,从而提高护理满意度。
Objective To investigate the clinical effect of clinical nursing in patients undergoing knee arthroplasty. Methods A total of 100 patients undergoing knee arthroplasty were enrolled in the Affiliated Hospital of Xuzhou Medical College in 2015. The patients were randomly divided into experimental group and control group with 50 cases each. The experimental group was given clinical nursing intervention and the control group was given routine nursing care. The New York Special Surgical Hospital knee arthroscopic function scale (HSS) score, Katz index, operation time, hospitalization time and knowledge before and after nursing were compared between the two groups Rate, complication rate and nursing satisfaction. Results There was no significant difference in HSS score and Katz index between the two groups before nursing (P> 0.05). HSS score and Katz index of the experimental group after nursing were higher than those of the control group (P <0.01). The HSS score and Katz index of the two groups after nursing were higher than those before nursing, the difference was statistically significant (P <0.01). The operation time and hospitalization time in the experimental group were shorter than those in the control group, and the knowledge awareness rate was higher than that in the control group. The complication rate was lower in the experimental group than in the control group (P <0.05). The nursing satisfaction of the experimental group was higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion Compared with the traditional nursing, clinical nursing path clinical nursing pathway in patients undergoing knee arthroplasty obvious effect, can improve patients’ daily living ability, reduce hospitalization time, reduce the incidence of complications, thereby enhancing the satisfaction of nursing.