标题：临床护理路径在老年全髋关节置换术围手术期中的应用

      作者：肖 黎
    （镇江市第一人民医院十三病区，江苏 镇江 212001）

      卷次： 2012年23卷20期

      【摘要】 目的 探讨临床护理路径在老年全髋关节置换术围手术期中应用效果。方法 将94例老年人工
全髋关节置换术患者随机分为实验组 47例和对照组47例，对照组采取传统整体护理模式对患者实施护理，实验
组实施临床护理路径实进行护理。比较两组护理效果。结果 实验组住院时间、住院费用和并发症均较对照组
少，实验组患者及家属的满意度显著高于对照组。结论 实施临床护理路径能降低并发症发生率，减少患者住
院天数，改善髋关节功能，提高患者及家属的满意度。

      【关键词】 临床护理路径；老年全髋关节置换；并发症

      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2012）20—147—03<

br>Application of clinical pathway in the perioperative stage of total hip arthroplasty in elderly patients.
XIAO Li.
The Thirteenth Ward, the First People's Hospital of Zhenjiang City, Zhenjiang 212001, Jiangsu, CHINA

【Abstract】 Objective To study the effect and significance of clinical nursing pathway (CNP)and holistic
nursing(HN) in 94 patients suffered from total hip replacement(THR). Methods The patients in research group re-
ceived CNP, gaven the overwhelming assessment and admission introduction, provided them and their dependents
with stables of CNP for their cooperation by the responsible nurse. Results The days of admission in research group,
hospitalization expenses and the rate of post-operative complication in research group decresaed significantly than
those in control group (P<0.05); the patient satisfaction in research group was 98.6%, while 92.1% in control group ,
with significant difference (P<0.05). Conclusion Applying CNP in patients suffered from THR can shorten the days
of admission, lower the rate of post-operative complication, increase the patience satisfaction and master health knowl-
edge, which can be wildly used in clinical experience.

      【Key words】 Clinical Nursing pathway; Total Hip Replacement; Complication