Application of painless management based on clinical pathway in elderly patients with femoral fractures
10.3760/cma.j.issn.1674-2907.2016.26.028
- VernacularTitle:无痛管理临床路径在老年股骨骨折患者围术期护理中的应用
- Author:
Xijing LI
1
;
Xue CHEN
;
Yuanyuan SHI
;
Heli ZHANG
Author Information
1. 130041 长春，吉林大学第二医院急救医学科
- Keywords:
Clinical pathway;
Elderly patients;
Perioperative period;
Painless management;
Femoral fracture
- From:
Chinese Journal of Modern Nursing
2016;22(26):3807-3810
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influences of painless management based on clinical pathway on pain during perioperative period, postoperative rehabilitation and the nursing satisfaction in elderly patients with femoral fractures.Methods A total of 112 elderly patients with femoral fractures who underwent surgeries in the Second Hospital of Jilin University were recruited from February 2014 to December 2015. They were divided into observation group (56 cases, nursing care with the painless management mode based on clinical pathway) and control group ( 56 cases, routine nursing care) according to the method of random number table. We compared the situation of pain during perioperative period, postoperative rehabilitation and the nursing satisfaction of patients between two groups.Results The results of analysis of variance for repeated measurement revealed that the scores of visual analogue scale ( VAS) of each postoperative time point in observation group were lower than those in control group, scores of VAS between two groups decreased with time increasing, the scores of hip joint function of each postoperative time point in observation group were higher than those in control group, scores of hip joint function between two groups increased with time increasing with significant differences ( P<0.01) . The satisfaction with nursing care of patients in observation group ( 92. 86%) was higher than that in control group (78.57%) at discharge with a significant difference (χ2 =4. 667, P=0. 031). Conclusions The painless management based on clinical pathway can relieve the pain of during perioperative period in elderly patients with femoral fractures, promote the postoperative rehabilitation and improve patients′ satisfaction. It is worthy of popularization in clinical work.
