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