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고관절 전치환술 환자의 Critical pathway 적용 효과

 Effects of Critical Pathway(CP) on the Patients with Primary Total Hip Replacement

간호행정학회지 2002년 8권 2호 p.295 ~ 308
KMID : 0614820020080020295
이미경 ( Lee Mi-Kyung ) - 경북대학교병원

도복늠 ( Doh Bok-Num ) - 경북대학교 의과대학 간호학과

Abstract

Purpose: The purpose of this quasi-experimental research is to develop the CP for primary THR patients and verify its effectiveness.

Method: The CP is designed for both patients and medical employees to meet the 14-day-long hospitalization with an expert and clinical validity test, and the standardized orders are also created. 21 eligible subjects for the control group (with common care plan) and 27 subjects for the experimental group (with CP service) were assigned. Data were collected from questionnaires to evaluate patients´ satisfaction level of nursing care and CP, investigation of physical complications, inspection of LOS (length of hospital stay) and lospital charges from April 2000 to February 2001 at K-hospital in Daegu. The collected data were analyzed by using the SAS program.

Results: After implementation of CP, there was a statistically significant reduction in mean length of stay. The hospital charges have no considerable difference between two groups. Frequency of physical complications is reduced considerably. The experimental group scored much higher than the control group on the satisfaction level toward nursing care. And in the analysis of CP satisfaction questionnaires, many subjects have high satisfaction in items of ´I see the treatment process and hospital life´, ´ I feel that I am participating in my treatment process with health care staff´. The analysis of variances which cause a prolonged LOS supports that it´s necessary to strengthen an evaluation of pre-operative outpatients´ condition and link the home nursing care system in discharge for more shortening of LOS.

Conclusion: The above results show that CP can have a positive impact on satisfaction level of inpatients with primary THR and the hospital.
KeyWords
고관절 전치환술
total hip replacement, critical pathway,
원문 및 링크아웃 정보
  
등재저널 정보
학술진흥재단(KCI) KoreaMed