【摘要】 目的探讨老年人工髋膝关节置换手术期间实施临床护理路径是否具有临床意义。方法该院骨科于2016年1月开始实施临床护理路径管理,分别于2015年6—12月期间选取30例老年人工髋膝关节置换术患者(A组),实施常规护理以及2016年1—6月期间选择30例老年人工髋膝关节置换术患者(B组),实施临床护理路径作为研究对象,观察两组生活质量及手术治疗情况。结果 B组患者的精神健康、情感职能、社会智能评分分别为(74.62±2.66)分、(82.26±2.66)分、(86.34±3.21)分明显高于A组患者,差异有统计学意义(P<0.05);两组患者的生理职能和躯干疼痛评分比较差异无统计学意义(P>0.05);B组患者的并发症发生率3.3%、住院时间(4.9±0.4)d、术后卧床时间(0.9±0.2)d明显低于A组患者,差异有统计学意义(P<0.05)。结论实施临床护理路径有利于提高老年人工髋膝关节置换术患者的生活质量。更多还原

【Abstract】 Objective To study whether the implementation of clinical nursing path in the senile artificial hip and knee joint?replacement during the preoperative period is of clinical significance or not. Methods The clinical nursing path management had been implemented in our hospital since January 2016, 30 cases of senile patients with artificial hip and knee joint replacement from June to December 2015 were selected as the group A, and the group A adopted the routine nursing, while 30 cases of senile patients with artificial hip and knee joint replacement from January to June2016 were selected as the group B, and the group B adopted the clinical nursing path, and the quality of life and operation treatment situation of the two groups were observed. Results The mental health, emotion function and social intelligence score in the group B were obviously higher than those in the group A, which were respectively(74.62±2.66)points、(82.26±2.66)points、(86.34±3.21)points scores in the group B, and the differences were statistically significant(P<0.05);and the differences in the physical function and trunk pains score between the two groups were not statistically significant(P>0.05); the incidence rate of complications, length of stay and bed time after surgery in the group B were respectively 3.3%,(4.9±0.4)d and(0.9±0.2)d, which were obviously lower than those in the group A, and the differences were statistically significant(P<0.05). Conclusion The implementation of clinical nursing path is conducive to improving the quality of life of senile patients with artificial hip and knee joint replacement.更多还原