Study on nursing risk management of the gerontal patient underwent operation of total knee replacement in perioperative period
10.3760/cma.j.issn.1674-2907.2010.30.002
- VernacularTitle:老年膝关节置换术患者围手术期护理风险管理的研究
- Author:
Hai-Lan JIANG
1
;
Bing LIU
;
Hua-Lin LIU
;
Cui-Na ZHANG
Author Information
1. 100091,北京,解放军第三○九医院骨科
- Keywords:
Total knee replacement;
Perioperative period;
Nursing;
Risk management
- From:
Chinese Journal of Modern Nursing
2010;16(30):3601-3604
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the nursing risk and management of the gerontal patient underwent operation of total knee replacement in perioperative period, and decrease the nursing risk. Methods 110 gerontal patients underwent operation of total knee replacement were divided into the experiment group and the control group according to the operation time. Patients in control group were given routine nursing cares and the ones in experiment group received nursing risk interventions based on the risk procedure management. Results The two groups had obvious difference in the nursing defect rates ( x2 = 4.21, P ＜ 0. 05 ), the degree of satisfaction (t =11.78,P ＜0. 01 ), the cost of HSS (t = 20.09,P＜0.01), and the rate of operation-correlated complications (t = 5. 30, P ＜0.01), average stay in hospital (t =8.01, P ＜0. 01 ), and the qualified rate of nursing cases (t =7. 70, P ＜ 0. 01 ) one day before leaving the hospital. Conclusions Risk procedure management in the gerontal patients underwent operation of total knee replacement in perioperative period could reduce the occurrence of nursing faults, the complications after operation and the length of stay, and raise the satisfaction degree, the function of knee joints and the qualified rate of nursing cases.
