临床护理路径在膝关节纤维性僵硬关节镜术后康复中应用.docVIP

临床护理路径在膝关节纤维性僵硬关节镜术后康复中的应用 　　[摘要] 目的：探讨临床护理路径应用于膝关节纤维性僵硬行膝关节镜微创治疗术后的康复效果。方法：选择2007年2月～2010年2月膝关节纤维性僵硬行膝关节镜微创治疗术患者92例，将其随机分为治疗组和对照组，每组各46例。对照组实施传统的责任制护理，治疗组在此基础上实施临床护理路径管理。出院时评价两组平均住院日、住院费用、膝关节功能、治疗依从性和综合满意度。结果：治疗组的平均住院日、住院费用和对照组比较，差异有统计学意义（χ2=4.521、12.354，P0.05）；两组患者首次锻炼时间（χ2=16.042，P0.05）、出院时关节活动度（χ2=2.512，P0.05）、随访关节活动度（χ2=3.78，P0.05）比较，治疗组优于对照组；治疗组综合满意度明显高于对照组（χ2=5.231，P0.05）；治疗依从性比较，治疗组明显高于对照组（χ2=12.358，P0.01）。结论：对膝关节纤维性僵硬行关节镜微创治疗术后的患者实施临床护理路径可缩短住院时间、减少住院费用、增强膝关节的康复效果、提高满意度和治疗依从性。 　　[关键词] 临床护理路径；膝关节纤维性僵硬；关节镜；康复 　　[中图分类号] R684.3 [文献标识码] A [文章编号] 1673-7210（2012）01（a）-102-03 　　 　　Application of clinical nursing pathway in rehabilitation of knee joint fibrous stiffness after knee arthroscopy 　　YANG Chen 　　The Peoples Hospital of Pizhou City, Jiangsu Province, Pizhou 221300, China 　　[Abstract] Objective: To investigate the rehabilitation effects of clinical nursing pathway application of knee joint fibrous stiffness after minimally invasive treatment with knee arthroscopy. Methods: 92 patients with knee joint fibrous stiffness received minimally invasive treatment with knee arthroscopy from February 2007 to February 2010 were randomly divided into treatment group and control group, with 46 cases for each group respectively. The control group was given the conventional primary nursing while the treatment group was given additional clinical nursing pathway management. The average length of hospital stay, hospitalization costs, knee joint function, treatment compliance and overall satisfaction of patients were evaluated when discharged. Results: The treatment group and the control group were significantly different in the average length of hospital stay (χ2=4.521, P0.05) and hospitalization costs (χ2=12.354, P0.05). The treatment group were superior to the control group in the time of first exercise (χ2=16.042, P0.05), range of motion when discharged (χ2=2.512, P0.05) and range of motion during follow-up (χ2=3.78, P0.05). The overall satisfaction of the treatme