Application Of Clinical Nursing Pathway Research Articles

Effects of clinical nursing pathway on the surgical site wound infection in patients undergoing knee or hip replacement surgery: A meta-analysis.

To explore the effect of clinical nursing pathway on wound infection in patients undergoing knee or hip replacement surgery. Computerised searches of PubMed, Web of Science, Cochrane Library, Embase, Wanfang, China Biomedical Literature Database, China National Knowledge Infrastructure databases were conducted, from database inception to September 2023, on the randomised controlled trials (RCTs) of application of clinical nursing pathway to patients undergoing knee and hip arthroplasty. Literature was screened and evaluated by two researchers based on inclusion and exclusion criteria, and data were extracted from the final included literature. RevMan 5.4 software was employed for data analysis. Overall, 48 RCTs involving 4139 surgical patients were included, including 2072 and 2067 in the clinical nursing pathway and routine nursing groups, respectively. The results revealed, compared with routine nursing, the use of clinical nursing pathways was effective in reducing the rate of complications (OR = 0.17, 95%CI: 0.14-0.21, p < 0.001) and wound infections (OR = 0.29, 95%CI: 0.16-0.51, p < 0.001), shortens the hospital length of stay (MD = -4.11, 95%CI: -5.40 to -2.83, p < 0.001) and improves wound pain (MD = -1.34, 95%CI: -1.98 to -0.70, p < 0.001); it also improve patient satisfaction (OR = 7.13, 95%CI: 4.69-10.85, p < 0.001). The implementation of clinical nursing pathways in clinical care after knee or hip arthroplasty can effectively reduce the incidence of complications and wound infections, and also improve the wound pain, while also improving treatment satisfaction so that patients can be discharged from the hospital as soon as possible.

Effects of clinical nursing pathway on surgical site wound infection in patients undergoing acute appendicitis surgery: A meta-analysis.

This study aimed to explore the impact of clinical nursing pathway applied to acute appendicitis surgery on patients' postoperative wound infections and complications. A computerised search of PubMed, Cochrane Library, Web of Science, EMBASE, Wanfang, Chinese Biomedical Literature Database and China National Knowledge Infrastructure was conducted and supplemented by a manual search, from database inception to October 2023, to collect randomised controlled trials (RCTs) on the application of clinical nursing pathways to acute appendicitis surgery. Literature screening, data extraction and quality assessment of the included literature were carried out independently by two researchers. RevMan 5.4 software was applied for data analysis. Twenty-one RCTs with a total of 2408 patients were finally included. The analysis revealed the implementation of clinical nursing pathway could effectively reduce the incidence of wound infection (OR = 0.26, 95% CI: 0.15-0.46, p < 0.001) and postoperative complications (OR = 0.20, 95% CI: 0.15-0.27, p < 0.001), as well as shorten the hospital length of stay (MD = -3.26, 95% CI: -3.74 to -2.79, p < 0.001) and accelerated the time to first ventilations (MD = -14.85, 95% CI: -21.56 to -8.13, p < 0.001), as well as significantly improved patient satisfaction (OR = 5.52, 95% CI: 3.52-8.65, p < 0.001) in patients undergoing surgery for acute appendicitis. The application of clinical nursing pathway in acute appendicitis surgery can significantly reduce postoperative wound infection and complications, and at the same time can shorten the hospital length of stay as well as improve the satisfaction of patients.

Effects of application of the clinical nursing pathway on surgical site wound infection and postoperative complication rates in patients with total knee arthroplasty: A meta-analysis.

This study aimed to systematically evaluate the effects of clinical nursing on surgical site wound infections and postoperative complications in patients after undergoing total knee arthroplasty (TKA). Computerised searches of Embase, PubMed, Cochrane Library, China National Knowledge Infrastructure, VIP and Wanfang databases were conducted from inception to August 2023 to collect randomised controlled trials (RCTs) on patients with TKA who received clinical nursing pathway interventions. Literature screening, data extraction and quality assessment of the included studies were performed independently by two researchers. The meta-analysis was performed using Stata 17.0. A total of 14 RCTs with 1174 patients were included, including 587 patients each in the intervention and control groups. The meta-analysis results showed that the application of clinical nursing pathways to patients undergoing TKA significantly reduced surgical site wound infections (risk ratio [RR] = 0.28, 95% confidence interval [CI]: 0.15-0.54, p < 0.001) and postoperative complications (RR = 0.25, 95% CI: 0.17-0.37, p < 0.001). Therefore, clinical nursing pathway interventions in patients undergoing TKA should be promoted in clinical practice as they can effectively reduce the incidence of wound infection and postoperative complications.

The Clinical Nursing Pathway on Prevention of Catheter Slippage with Intensive Care Unit Patients: A Systematic Review and Meta-Analysis.

Objective To evaluate the prevention effect of the clinical nursing pathway (CNP) of catheter slippage with intensive care unit (ICU) patients. Methods Primary databases were electronically searched from the inception up to June 25, 2021. Randomized clinical trials of CNP versus routine nursing for prevention of catheter slippage with ICU patients were included. The risk of bias was assessed using the Cochrane risk of bias tool and the quality of included studies using the Jadad rating scale. A meta-analysis was conducted using the Cochrane collaboration's RevMan5.3 software. Results Eight studies met the inclusion criteria. The findings of the meta-analysis revealed that the comparison of CNP and routine nursing was applied in ICU patients, the catheter slippage incidence rate odds ratio (OR) was 0.11, with 95% confidence interval (CI) (0.05, 0.24), and the difference was statistically significant (P < 0.00001). The catheter infection rate OR was 0.15, with 95% CI (0.06, 0.37), and the difference was statistically significant (P < 0.0001). The nursing satisfaction OR was 14.06, with 95% CI (5.71, 34.63), and the difference was statistically significant (P < 0.00001). Conclusion Compared with routine nursing, the application of CNP in ICU patients can effectively reduce the incidence of catheter slippage, reduce the infection rate of the catheter, and improve the nursing satisfaction.

Application of clinical nursing pathway in nursing care of patients undergoing gastric cancer surgery.

Application of clinical nursing pathway in nursing care of patients undergoing gastric cancer surgery.

Application of clinical nursing pathway in bladder cancer patients undergoing ureteroperitoneostomy.

Application of clinical nursing pathway in bladder cancer patients undergoing ureteroperitoneostomy.

Research progress in the formulation and application of clinical nursing pathways for breast cancer

In recent decades, the research on clinical nursing pathways for breast cancer in China mainly explores their nursing benefits when applied in breast cancer patients who undergo surgery, chemotherapy and radiation therapy. However, there is no official clinical nursing pathway for breast cancer yet in China and the pathway formulation methods and norms are uneven in the existing research. Since the research on the formulation of clinical nursing pathways are relatively lacking in China, this article reviews the domestic and foreign literatures from the formulation and clinical application of clinical nursing pathways for breast cancer, with a view to providing reference for the subsequent research on clinical nursing pathways for breast cancer. Key words: Review; Breast neoplasms; Clinical nursing pathway; Clinical application

Application of Clinical Nursing Pathway for Endoscopic Mucosal Dissection of Tumors

This paper investigated the application of clinical nursing pathway in endoscopic mucosal dissection of tumors in patients. Seventy patients with benign gastric tumors were selected as the study subjects. All 70 patients underwent endoscopic mucosal dissection. According to the hospitalization number, they were divided into the study group and the control group, 35 cases in each group. The control group received routine nursing while the study group had the clinical nursing pathway implemented. The postoperative fasting time, hospitalization time and cost, complications and number of relapses were compared between the two groups. The results showed that the fasting time and hospitalization time of the study group were shorter than that of the control group and the treatment cost was lower than that of the control group (P<0.05). The rate of postoperative complication was low in the study group. There was no significant difference in the rate of postoperative recurrence between these two groups. Finally, the clinical nursing pathway was significantly effective in the treatment of tumors with endoscopic mucosal dissection.

Application of clinical nursing path in negative pressure drainage after anterior cervical internal fixation operation

Objective To explore the application of clinical nursing pathway in negative pressure drainage after anterior cervical spine fixation. Methods A total of 80 patients admitted to the hospital from June 2015 to June 2017 who underwent negative pressure drainage after single segmental anterior cervical fixation were selected. According to the random number table, the patients were divided into observation group and control group, with 40 patients in each group.The control group received routine nursing during negative pressure drainage, the observation group received clinical nursing path nursing during negative pressure drainage.The results of drainage, self-care ability and patients' satisfaction with nursing service were compared between the two groups. Results The drainage volume in the observation group was significantly higher than that in the control group 24 hours after surgery, with statistically significant difference (P<0.05). The total drainage time of the observation group was shorter than that of the control group, and the difference was statistically significant (P<0.05). The total scores of self-care ability, drainage knowledge and treatment compliance in the observation group were higher than those in the control group, with statistically significant differences (P<0.05). Satisfaction scores of the observation group on drainage effect, drainage tube maintenance effect, hospital service, basic nursing, ward nursing, nurse service attitude and other aspects were all higher than those of the control group, and the difference was statistically significant (P<0.05). Conclusion Clinical nursing path can effectively improve the compliance and drainage effect of negative pressure drainage after anterior cervical fixation surgery, help shorten the drainage time of patients, improve patients' satisfaction with nursing services, and is worthy of clinical promotion and application. Key words: Clinical nursing path; Anterior cervical spine internal fixation; Negative pressure drainage; Satisfaction

Application of clinical nursing pathway in children with acute diarrhea

Objective To explore the effects of clinical nursing path in the nursing of children with acute diarrhea. Methods A total of 80 cases of acute diarrhea children were enrolled from August 2014 to August 2017 in the First Hospital of Jilin University as the research object, and randomly divided into 2 groups with 40 cases in each group. The control group were given routine nursing, and the observation group received clinical nursing path. The time of antidiarrheal, the time of antipyretic, the time of normal stool recovery, the time of vomiting disappearance, the time of hospitalization, the recurrence and the degree of satisfaction of the family members were compared between the two groups. Results The time of antidiarrheal, the time of antipyretic, the time of normal stool recovery, hospitalization time and recurrence rate of the observation group were all lower than those of the control group. The scores of family members' satisfaction on communication and information support, emotional support and quality nursing support of the observation group were higher than those of the control group, and the differences were statistically significant (P 0.05) . Conclusions The clinical nursing path can effectively relieve the clinical symptoms of children with acute diarrhea, improve their family satisfaction and reduce the recurrence rate. Key words: Diarrhea; Nursing path; Children; Acute

The application of clinical nursing pathway in the prevention of hypoglycemia of neonate

Objective To explore the application effect of clinical nursing pathway in the prevention of hypoglycemia of neonate. Methods A total of 200 cases of neonates with high risk of hypoglycemia born in our section from June 2014 to June 2015 were randomly divided into the control group and intervention group.The intervention group implemented the clinical nursing pathway to prevent hypoglycemia.The control group received routine care and health education guidance.The value of blood sugar after the birth of 0.15 hours, 1 hour, 4 hours, 7 hours and 8 hours were monitored.If the blood glucose value was less than or equal to 2.2 mmol/L, the newborn should be sent to NICU care.The incidence of hypoglycemia, the hospitalization rate for hypoglycemic pediatric referral, the health knowledge, satisfaction of patients and their families were compared between the two groups. Results The blood glucose values after the birth of 0.15 hours, 1 hour, 4 hours, 7 hours and 8 hours of the experimental group was obviously lower than that of the control group (P<0.01). The incidence of hypoglycemia of the experimental group(15%) was lower than that of the control group(28%), and the rate of infants' transfer to Pediatrics of the experimental group(2%) was obviously lower than that of the control group(12%), and the difference was statistically significant.The satisfaction for nursing and the pass rate of health knowledge of the experimental was higher than that of the control group, and the differences were statistically significant (P<0.01). Conclusions The implementation of clinical nursing pathway in the prevention of hypoglycemia in neonate can obviously improve the quality of nursing, standardize the nursing workflow, detect the neonatal hypoglycemia earlier, reduce the nursing risk of hypoglycemia in obstetrical ward, improve the quality of nursing and improves patients′satisfaction. Key words: Neonates; Hypoglycemia; Clinical nursing pathway; Maternity ward

Application of clinical nursing pathway in the laparoscopic cholecystectomy

Application of clinical nursing pathway in the laparoscopic cholecystectomy

Application of clinical nursing pathway in the treatment of lumbar disk herniation radiofrequency ablation

Objective To explore the clinical effects of clinical nursing pathway(CNP) in the radiofrequency ablation treatment for the lumbar intervertebral disc protrusion. Methods The 50 patients who underwent radiofrequency ablation treatment for the lumbar intervertebral disc protrusion from Oct.2012 to Mar.2013 were chosen as the control group, and received conventional nursing and health education.Another 50 patients who underwent the same treatment from Apr.2013 to Sep.2013 were chosen as the observation group, and received nursing and health education according to the methods and contents of CNP. The average operation time, intraoperative and postoperative complications, hospitalization duration, hospitalization expenses, and the patients' satisfaction rate about nursing of the two groups before and after the implementation of CNP were compared. Results The average operation time, hospitaliztion duration, hospitalization expenses, operative complications, awareness rate of health education, and the satisfaction rate on nursing care of the observation group were significantly superior to that of the control group, and the difference was statistically significant (P<0.05). Conclusion The application of CNP during the radiofrequency ablation treatment for the lumbar intervertebral disc protrusion can reduce the operative complications, shorten the operation time and hospital duration, lower the hospitalization expenses, and raise the health education awareness rate and satisfaction rate. Key words: Clinical nursing pathway; Lumbar intervertebral disc protrusion; Rradiofrequency minimally invasive ablation

Application of clinical nursing pathway in deep vein catheterization post cardiothoracic operation

Objective To investigate the effects of clinical nursing pathway (CNP) on patients with deep vein catheterization after cardiothoracic operation. Methods A total of 950 patients with deep vein catheterization post cardiothoracic operation from January 2013 to December 2014 in Shandong Heze Municipal Hospital were evenly divided into experimental group and control group by admission time. Under the same basis of surgical therapy, the clinical nursing pathway and normal nursing were respectively adopted in experimental and control group. Postoperative recovery, complications and satisfaction of patients were compared between two groups. Results The total effective rate was 90.95% in experimental group and 77.26% in control group (P<0.05). Incidences of complications were 9.68% in experimental group and 28.00% in control group (P<0.05). Satisfaction of patients was 92.42% in experimental group and 78.32% in control group (P<0.05). Conclusions Adoption of CNP for post cardiothoracic operation patients improves effectiveness of surgery. In addition, CNP can reduce recovery time and complications. CNP, which increases satisfaction of patients and their relatives, is worth popularization. Key words: Cardiothoracic surgery; Perioperative nursing; Deep vein catheterization; Clinical nursing pathway

Application values of clinical nursing pathway in patients with acute cerebral hemorrhage.

Acute cerebral hemorrhage accounts for approximately 25% of strokes for elderly patients. Consequently, treatments to improve prognosis should be identified. The aim of the present study was to examine the clinical values of the application of clinical nursing pathway for patients with acute cerebral hemorrhage. Between January 2013 and January 2015, 92 patients diagnosed with acute intracerebral hemorrhage were enrolled in the study based on the guidelines recommended for providing appropriate surgical or conservative treatment and the sequence of admission. The 92 patients were randomly divided into the control and observation groups. Patients in the control group underwent routine nursing mode prior to and after admission, and underwent clinical nursing path model (hierarchical partitioning prior to admission to hospital plus general professional program of nursing in hospital) was applied to the observation group. Barthel index scores for the observation group were significantly higher than that of the control group. The length of hospital stay for patients in the observation group was significantly lower while the average score for patients' satisfaction on nursing care while in hospital was significantly higher than that of the control group, with statistically significant differences (P<0.05). The incidence of complications such as fever, infection, bedsore, gastrointestinal function, electrolyte disturbances, and malnutrition, in the observation group was significantly lower, with statistically significant differences (P<0.05). The functional independence measure (FIM) and Fugl-Meyer scores after 6 months for the observation group were significantly higher, with statistically significant differences (P<0.05). In conclusion, application of the clinical nursing pathway for patients with acute cerebral hemorrhage significantly improved the clinical effects and nursing satisfaction, reduced adverse reactions, and had a greater clinical application value.

Application of clinical nursing pathway in health education for oncology patients chemotherapy

Objective To explore the application of clinical pathway way of thinking on health education for patients of knowledge about cancer chemotherapy. Methods 176 cancer patients undergoing chemotherapy accepting traditional health education methods from January to December 2010 were selected into control group, and 176 cancer patients undergoing chemotherapy accepting health education by clinical pathway from January to December 2011 were selected into experimental group. Results Emotional changes, mastering the knowledge degree, treatment compliance and self care ability and patient satisfaction survey in observation group were significantly better than those of control group(P< 0.01). Conclusions Clinical nursing pathway could significantly improve the tumor chemotherapy patients anxiety, pessimistic and negative emotions, improve chemotherapy patients compliance and the treatment effect, improve the quality of life of patients with chemotherapy oncology. Key words: Clinical nursing path; Patients with tumor; Chemotherapy; Health education

Application of clinical nursing pathway in insulin injection in patients with type 2 diabetes

Application of clinical nursing pathway in insulin injection in patients with type 2 diabetes

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

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

Application of clinical nursing pathway in patients with hand-foot-and-mouth disease associated with vital myocarditis

Objective To study the effect of clinical nursing pathway in patients with hand-foot-and-mouth disease associated with vital myocarditis .Methods A total of 76 cases of patients with hand-foot-and-mouth disease associated with vital myocarditis between December 2011 and December 2013 were recruited and divided into control group（n=38）and observation group（n=38） randomly.The control group was treated by normal therapy , while the observation group was treated by clinical nursing pathway .The effect and satisfaction of two groups were observed and compared .Results The hospital stay of the observation group was （12.8 ± 3.58） days, which was significantly shorter than that in the control group （ 18.7 ±5.31 ） days, and the difference was statistically significant （t =9.25,P〈0.05）.The hospital cost in the observation group was reduced by almost 20%compared with the control group .The observation group had one case with nosocomial infection, while there were six cases in the control group , and the difference was statistically significant （χ2 =6.08,P〈0.05）.The satisfaction rate of the observation group was 94.74%（36/38）, while the control group was 78.95%（30/38）, and a significant difference was found （ t =14.08, P 〈0.05）.Conclusions The clinical nursing pathway applied in patients with hand-foot-and-mouth disease associated with vital myocarditis can shorten hospital stay , reduce nosocomial infection and improve the satisfaction of patients . Key words: Hand-foot-and-mouth disease; Vital myocarditis; Clinical nursing pathway

Application of clinical nursing pathway of traditional Chinese medicine on patients with limb fractures during perioperative period

Obective To discuss the application of clinical nursing pathway of traditional Chinese medicine on patients with limb fractures during perioperative period. Methods One hundred hospitalized patients with limb fractures from January 2010 to December 2012 were selected and randomly divided into the study group and the control group, each with 50 patients. The study group was given clinical nursing pathway, health guidance and health education of traditional Chinese medicine, while the control group received the conventional nursing. The satisfaction rates on nursing, rating scales on post-treatment quality of life, hospital stays and the health education time were compared between two groups. Results The average days in hospital and the time of health education were （7.2 ± 1.1 ） d, （ 11.5±4.1 ） h in the study group and （ 9.1 ± 1.8 ） d, （ 23.1 ±3.5 ） h in the control group, with statistically significant differences （ t = 6.23,7.51, respectively ; P 〈 0.05）. The satisfaction rate of patients and families, the grasp of health knowledge and the rating of life quality was respectively （98.2 ± 4.1 ）, （92.3 ±4.5 ）, （165.9 ± 20.3） in the study group, better than （90.7 ± 3.9）, （76.2 ±3.3 ）, （ 102.7 ± 21.6） in the control group, and the differences were statistically significant （ t = 7.22, 12.51,9.03, respectively; P 〈 0.05）. Conclusions The application of clinical nursing pathway of traditionalChinese medicine can reduce patient＇ s medical cost, improve nursing quality and patient＇ s quality of life. Key words: Nursing of traditional Chinese medicine ; Clinical pathway ; Limb fractures