目的 研究临床护理路径对膝关节骨性关节炎病人关节镜术后关节功能及疼痛的影响.方法 选取2012年2月至2014年2月于海南省人民医院行关节镜治疗膝关节骨性关节炎病人100例,随机分为研究组与对照组,每组50例.研究组接受临床护理路径护理,对照组接受传统整体护理模式.评价病人入院时、出院时及出院后1个月的关节功能与关节疼痛程度.结果 两组病人平均住院时间、住院费用比较,研究组均低于对照组(均P<0.05).Lysholm膝关节功能评分显示两组病人出院时评分均高于入院时(P<0.05),但两组出院时比较差异无统计学意义(P=0.104).出院后1个月研究组评分优于对照组,差异有统计学意义(P<0.05).Lequesne疼痛评分显示两组出院时疼痛均低于入院时(P<0.05);研究组在出院时的得分(P=0.009)及出院后1个月的得分(P<0.05)均低于对照组.结论 对行关节镜治疗膝关节骨性关节炎病人采用临床护理路径护理,能显著提升病人术后膝关功能,减轻术后疼痛程度,有效提高治疗效果.%Objective To study the effect of clinical nursing pathway on joint functions and pain of knee-joint osteoarthritis patients after arthroscopic surgery. Methods One hundred cases of knee-joint osteo-arthritis were collected in Hainan General Hospital from February 2012 to February 2014. Patients were randomly divided into two groups: study group receiving the clinical nursing pathway, and control group receiving the routine nursing. We recorded and compared joint function and pain degree on admission, dis-charge and 1 month after discharge. Results The average length of hospital stay was significantly shortened, and expenditure significantly decreased in the study group as compared with those in the control group (P<0.05). Joint function was significantly improved in both two groups at discharge and 1 month after discharge (P<0.05). The score at discharge had no significant difference between the two group (P=0.104), but a significant difference was seen at 1st month after discharge (P<0.05). Pain degree was significantly alleviated at discharge and 1 month after discharge in the two groups (P<0.05). The scores at discharge (P=0.009) and 1 month after discharge (P<0.001) in the study group were significantly reduced as compared with those in the control group. Conclusion Clinical nursing pathway can improve the knee-joint function, reduce the pain degree and improve the outcomes of patients with knee-joint osteoarthritis after arthroscopy surgery.
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