Application of clinical nursing pathway in patients with shoulder arthroscopic surgery in intraoperative period

Abstract

Objective To investigate the application of clinical nursing pathway in perioperative care of shoulder arthroscopic surgery , in order to improve and establish the standard nursing model .Methods Totals of 45 patients admitted from January 2012 to December 2012 were served as the control group , without clinical nursing pathway.Totals of 44 patients from January 2013 to December 2013 were served as the study group with clinical nursing pathway .The hospital stay , medical expenses and patients’satisfaction were compared between the two groups .Results After appling the clinical nursing pathway , the hospital stay of the control group and the study group were （7.89 ±3.95） and （6.50 ±3.26） days.There was a significant difference between the two groups （t =2.238, P 〈0.05）.The hospital stay of the control group and the study group before the operation were （3.02 ±2.13） and （3.08 ±1.36） days, with no significant difference （t=0.549, P〉0.05）. The hospital stay of the control group and the study group after the operation were （3.16 ±2.03） and （2.96 ± 1.35） days, with a statistically significant difference （ t=2.511, P〈0.05）.The medical expenses of the control group and the study group were （48 464.31 ±14 813.99） and （41 899.65 ±12 292.36） yuan.There was a significant difference between the two groups （t=2.272, P〈0.05）.The satisfaction between the two groups had a significant difference （χ2 =6.621, P〈0.01）.Conclusions The application of clinical nursing pathway can effectively reduce hospital duration , medical cost and improve satisfaction of patients with shoulder arthroscopic surgery , and it is a practical , feasible and effective nursing model . Key words: Shoulder joint; Arthroscope; Clinical nursing pathway; Intraoperative period