流程管理对高龄全髋关节置换术患者的临床效果分析

目的：随着我国人口老龄化日渐严重，高龄人群中髋关节骨折或坏死的发病率明显呈上升趋势。目前，临床用于治疗该类疾病的方法主要是全髋关节置换术（THA）。但高龄患者身体机能出现衰退，术后极易出现并发症。因此，高龄患者行全髋关节置换术的围术期护理工作起着重要的作用。本文针对行全髋关节置换术的高龄患者，探讨流程管理模式的临床效果，为护理工作提供参考。方法：选择我科2010年12月至2013年6月行全髋关节置换术的12位高龄患者，随机分为对照组和观察组，分别采用常规模式和流程管理模式进行护理。对比两组患者的临床效果及对护理服务的满意度。结果：观察组患者无一例并发症出现，髋关节功能恢复良好，均痊愈出院，且住院时间比对照组短（P〈0．05）；观察组对护理服务的满意度高于对照组，差异具有统计学意义（P〈0．05）。结论：采取流程管理模式对高龄患者的围术期护理具有显著的效果，有助于减少术后并发症，提高患者对护理服务的满意度，值得临床推广。

Clinical Analysis of Process Management on Nursing for Elderly Patients with Total Hip Arthroplasty＊

Objective： With the severe situation of the aging population in our country, the numbers of old people who were suf- fered from the hip fractures or necrosis have increased rapidly. The essential treatment method at the present is the total hip arthroplasty. However, it is indicated that the post operative incidence of complications for patients could be worse than that of the youngers because the body function of the older patients has become degenerated. Thus, it is important that an efficient nursing method should be applied at the peri operative period for patients who have taken the total hip arthroplasty surgery. This essay is written to discuss the clinical efficacy of process management on nursing for the old patients with total hip arthroplasty. Methods： Twelve elderly patients with hip fractures or necrosis who were underwent the total hip arthroplasty in our department from December 2010 to June 2013 were selected and randomly divided into the control group and the observation group. The patients in the control group were treated by the routine nursing mode, while the patients in the observation group were treated by the process management nursing mode. Then the clinical effect and satisfac- tion of nursing were compared between two groups. Results： All the patients of the observation group got cured and went home when the hip functional recovered with no complications, and the disease course was shorter than that of the patients in the control group （P〈0.05）; The satisfaction on the nursing service of patients in the observation group was higher than that of the patients in the control group with statistically significant difference （P〈0.05）. Conclusions： It is worthy to promote the process management of nursing to the clinical field for the patients with the total hip arthroplasty for it could enhance the success of operation, prevent the incidence of postoperative compli- cations and improve the satisfaction of patients.